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Marian Regional Medical Center: what a joint replacement costs

Santa Maria, CA 93454 · CMS Certification Number 050107. 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
$11,110
Plaza Surgery Center, same ZIP
Outpatient here
$15,757
173 Medicare cases, APC 5115
Inpatient here
$20,015
67 Medicare stays, MS-DRG 470

Medicare prices at Marian Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,015$116,3775.8×$15,757
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$21,776$123,2975.7×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 227 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Marian Regional Medical Center for a knee or hip replacement?

In 2024 Medicare paid Marian Regional Medical Center an average of $20,015 per inpatient hip or knee replacement stay (MS-DRG 470, 67 stays) and $15,757 per outpatient case (APC 5115, 173 cases).

What is Marian Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,377, 5.8× 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 Marian Regional Medical Center?

Yes for Medicare facility payments. Plaza Surgery Center, an orthopedic surgery center same ZIP away, is paid about $11,110 by Medicare for a knee replacement (CPT 27447), $8,905 less than an inpatient stay at Marian Regional Medical Center. Not every patient is a surgery-center candidate.

How does Marian Regional Medical Center compare with other California hospitals?

Medicare paid Marian Regional Medical Center less than 56% of the 119 California hospitals that report inpatient hip or knee replacement.