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Santa 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.

Surgery center nearby
$10,558
Pacific Surgery Center of Sant, same ZIP
Outpatient here
$15,737
346 Medicare cases, APC 5115
Inpatient here
$22,698
82 Medicare stays, MS-DRG 470

Medicare prices at Santa Monica - Ucla Med Ctr & Orthopaedic Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$22,698$116,7415.1×$15,737
Shoulder replacement$32,790$130,7964.0×$22,334
Hip replacement after a fracture (DRG 522)$24,875$127,3575.1×—

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 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).

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× 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 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?

Medicare paid Santa Monica - Ucla Med Ctr & Orthopaedic Hospital more than 78% of the 119 California hospitals that report inpatient hip or knee replacement.