Orange, CA 92868 · CMS Certification Number 050069. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $23,965 | $85,475 | 3.6× | $16,148 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $22,412 | $90,457 | 4.0× | — |
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 462 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Providence St. Joseph Hospital an average of $23,965 per inpatient hip or knee replacement stay (MS-DRG 470, 25 stays) and $16,148 per outpatient case (APC 5115, 129 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,475, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. La Veta Surgical Center, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447), $13,929 less than an inpatient stay at Providence St. Joseph Hospital. Not every patient is a surgery-center candidate.
Medicare paid Providence St. Joseph Hospital more than 81% of the 119 California hospitals that report inpatient hip or knee replacement.