Price AtlasInteractive atlas · All states · techysurgeon.comPalomar Health Downtown Campus: what a joint replacement costs
Escondido, CA 92025 · CMS Certification Number 050115. 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 Palomar Health Downtown Campus
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,513 | $108,981 | 6.6× | $9,770 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,292 | $138,521 | 8.5× | — |
Quality
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 679 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Palomar Health Downtown Campus for a knee or hip replacement?
In 2024 Medicare paid Palomar Health Downtown Campus an average of $16,513 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $9,770 per outpatient case (APC 5115, 222 cases).
What is Palomar Health Downtown Campus's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $108,981, 6.6× 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 Palomar Health Downtown Campus?
Yes for Medicare facility payments. Advanced Surgery Center of North County, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $6,118 less than an inpatient stay at Palomar Health Downtown Campus. Not every patient is a surgery-center candidate.
How does Palomar Health Downtown Campus compare with other California hospitals?
Medicare paid Palomar Health Downtown Campus less than 97% of the 119 California hospitals that report inpatient hip or knee replacement.