Santa Monica, CA 90404 · CMS Certification Number 050112. 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 | $22,698 | $116,741 | 5.1× | $15,737 |
| Shoulder replacement | $32,790 | $130,796 | 4.0× | $22,334 |
| Hip replacement after a fracture (DRG 522) | $24,875 | $127,357 | 5.1× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 363 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Santa Monica - Ucla Med Ctr & Orthopaedic Hospital an average of $22,698 per inpatient hip or knee replacement stay (MS-DRG 470, 82 stays) and $15,737 per outpatient case (APC 5115, 346 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,741, 5.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Pacific Surgery Center of Sant, an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $12,140 less than an inpatient stay at Santa Monica - Ucla Med Ctr & Orthopaedic Hospital. Not every patient is a surgery-center candidate.
Medicare paid Santa Monica - Ucla Med Ctr & Orthopaedic Hospital more than 78% of the 119 California hospitals that report inpatient hip or knee replacement.