Price AtlasInteractive atlas · All states · techysurgeon.comSan Antonio Regional Hospital: what a joint replacement costs
Upland, CA 91786 · CMS Certification Number 050099. 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.
Medicare prices at San Antonio Regional Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $15,959 |
| Shoulder replacement | — | — | — | $21,525 |
| Hip replacement after a fracture (DRG 522) | $20,319 | $126,195 | 6.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,739 | — | $19,130–$53,373 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Kaiser Permanente | $53,373 | — | 1 |
| UnitedHealthcare | $50,612 | — | 1 |
| Prime Health - All Plans | $33,478 | — | 1 |
| Healthnet - All Other Plans | $30,054 | — | 1 |
| Redlands HMO-All Other Plans | $29,843 | — | 1 |
| Redlands Employee | $28,695 | — | 1 |
| Iehp Comm - All Other Plans | $27,739 | — | 1 |
| Oscar | $27,739 | — | 1 |
| Alpha Care Mg-All Other Plans | $23,913 | — | 1 |
| Blue Shield of California | $22,464 | — | 1 |
| Heritage Prov Ntwrk/Regal - All Other Plans | $22,305 | — | 1 |
| Aetna | $19,130 | — | 1 |
| Prospect Hp-All Plans | $19,130 | — | 1 |
| Universal Care - All Plans | $19,130 | — | 1 |
From the hospital's price-transparency file (2026-04-02); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-02); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 363 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay San Antonio Regional Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $15,959 per outpatient hip or knee replacement case (APC 5115, 77 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near San Antonio Regional Hospital?
Yes for Medicare facility payments. Merit Surgery Center, Inc., an orthopedic surgery center same ZIP away, is paid about $10,120 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay San Antonio Regional Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $27,739 across 14 insurers, ranging from $19,130 to $53,373.