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Scripps Mercy Hospital: what a joint replacement costs

San Diego, CA 92103 · CMS Certification Number 050077. 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
$10,395
Scripps Mercy Surgery Pavilion, same ZIP
Outpatient here
$15,979
86 Medicare cases, APC 5115
Inpatient here
$21,958
85 Medicare stays, MS-DRG 470

Medicare prices at Scripps Mercy Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$21,958$165,2267.5×$15,979
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$27,194$191,4277.0×—

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 700 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Scripps Mercy Hospital for a knee or hip replacement?

In 2024 Medicare paid Scripps Mercy Hospital an average of $21,958 per inpatient hip or knee replacement stay (MS-DRG 470, 85 stays) and $15,979 per outpatient case (APC 5115, 86 cases).

What is Scripps Mercy Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $165,226, 7.5× 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 Scripps Mercy Hospital?

Yes for Medicare facility payments. Scripps Mercy Surgery Pavilion, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $11,563 less than an inpatient stay at Scripps Mercy Hospital. Not every patient is a surgery-center candidate.

How does Scripps Mercy Hospital compare with other California hospitals?

Medicare paid Scripps Mercy Hospital more than 75% of the 119 California hospitals that report inpatient hip or knee replacement.