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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,015 | $116,377 | 5.8× | $15,757 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $21,776 | $123,297 | 5.7× | — |
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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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).
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.
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.
Medicare paid Marian Regional Medical Center less than 56% of the 119 California hospitals that report inpatient hip or knee replacement.