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Valley Presbyterian Hospital: what a joint replacement costs

Van Nuys, CA 91406 · CMS Certification Number 050126. 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
Kinetix Surgery Center Inc, 2.1 mi
Outpatient here
$16,148
29 Medicare cases, APC 5115
Inpatient here
$20,822
21 Medicare stays, MS-DRG 470

Medicare prices at Valley Presbyterian Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,822$71,1573.4×$16,148
Shoulder replacement————

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 362 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Valley Presbyterian Hospital for a knee or hip replacement?

In 2024 Medicare paid Valley Presbyterian Hospital an average of $20,822 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $16,148 per outpatient case (APC 5115, 29 cases).

What is Valley Presbyterian Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $71,157, 3.4× 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 Valley Presbyterian Hospital?

Yes for Medicare facility payments. Kinetix Surgery Center Inc, an orthopedic surgery center 2.1 mi away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $10,264 less than an inpatient stay at Valley Presbyterian Hospital. Not every patient is a surgery-center candidate.

How does Valley Presbyterian Hospital compare with other California hospitals?

Medicare paid Valley Presbyterian Hospital more than 60% of the 119 California hospitals that report inpatient hip or knee replacement.