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Providence St. Joseph Hospital: what a joint replacement costs

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.

Surgery center nearby
$10,036
La Veta Surgical Center, same ZIP
Outpatient here
$16,148
129 Medicare cases, APC 5115
Inpatient here
$23,965
25 Medicare stays, MS-DRG 470

Medicare prices at Providence St. Joseph Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,965$85,4753.6×$16,148
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$22,412$90,4574.0×—

Quality

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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Questions

How much does Medicare pay Providence St. Joseph Hospital for a knee or hip replacement?

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).

What is Providence St. Joseph Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Providence St. Joseph Hospital?

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.

How does Providence St. Joseph Hospital compare with other California hospitals?

Medicare paid Providence St. Joseph Hospital more than 81% of the 119 California hospitals that report inpatient hip or knee replacement.