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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $27,192 | $106,114 | 3.9× | $18,187 |
| Shoulder replacement | — | — | — | $25,724 |
| Hip replacement after a fracture (DRG 522) | $25,046 | $109,326 | 4.4× | — |
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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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).
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.
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.
Medicare paid Sutter Medical Center, Sacramento more than 92% of the 119 California hospitals that report inpatient hip or knee replacement.