Price AtlasInteractive atlas · All states · techysurgeon.comSanta Monica - Ucla Med Ctr & Orthopaedic Hospital: what a joint replacement costs
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.
Medicare prices at Santa Monica - Ucla Med Ctr & Orthopaedic Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $25,843 | 1.1× | $23,702–$32,167 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Centivo | $32,167 | 1.4× | 1 |
| Elevance/Anthem/Empire | $25,843 | 1.1× | 1 |
| LA Care Covered CA | $23,702 | 1.0× | 1 |
From the hospital's price-transparency file (2026-03-29); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-29); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Santa Monica - Ucla Med Ctr & Orthopaedic Hospital for a knee or hip replacement?
In 2024 the average total payment to Santa Monica - Ucla Med Ctr & Orthopaedic Hospital for an inpatient hip or knee replacement stay was $22,698 (MS-DRG 470, 82 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,737 per outpatient case (APC 5115, 346 cases).
What is Santa Monica - Ucla Med Ctr & Orthopaedic Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $116,741, 5.1× the average total payment for a Medicare stay. 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 Santa Monica - Ucla Med Ctr & Orthopaedic Hospital?
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.
How does Santa Monica - Ucla Med Ctr & Orthopaedic Hospital compare with other California hospitals?
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital's average total payment per Medicare stay is higher than 78% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Santa Monica - Ucla Med Ctr & Orthopaedic Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $25,843 across 3 insurers, ranging from $23,702 to $32,167.