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Sutter Medical Center, Sacramento: what a joint replacement costs

Sacramento, CA 95816 · CMS Certification Number 050108. 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
$12,209
Fort Sutter Surgery Center, same ZIP
Outpatient here
$18,187
165 Medicare cases, APC 5115
Inpatient here
$27,192
52 Medicare stays, MS-DRG 470

Medicare prices at Sutter Medical Center, Sacramento

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$27,192$106,1143.9×$18,187
Shoulder replacement———$25,724
Hip replacement after a fracture (DRG 522)$25,046$109,3264.4×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 523 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Sutter Medical Center, Sacramento for a knee or hip replacement?

In 2024 Medicare paid Sutter Medical Center, Sacramento an average of $27,192 per inpatient hip or knee replacement stay (MS-DRG 470, 52 stays) and $18,187 per outpatient case (APC 5115, 165 cases).

What is Sutter Medical Center, Sacramento's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $106,114, 3.9× 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 Sutter Medical Center, Sacramento?

Yes for Medicare facility payments. Fort Sutter Surgery Center, an orthopedic surgery center same ZIP away, is paid about $12,209 by Medicare for a knee replacement (CPT 27447), $14,983 less than an inpatient stay at Sutter Medical Center, Sacramento. Not every patient is a surgery-center candidate.

How does Sutter Medical Center, Sacramento compare with other California hospitals?

Medicare paid Sutter Medical Center, Sacramento more than 92% of the 119 California hospitals that report inpatient hip or knee replacement.