Price AtlasInteractive atlas · All states · techysurgeon.comTri-City Medical Center: what a joint replacement costs
Oceanside, CA 92056 · CMS Certification Number 050128. 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 Tri-City Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,145 | $107,799 | 5.9× | $15,420 |
| Shoulder replacement | — | — | — | $22,851 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,026 | 1.5× | $26,511–$32,192 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Kaiser Permanente | $32,192 | 1.8× | 1 |
| Elevance/Anthem/Empire | $28,973 | 1.6× | 1 |
| Health Net | $27,079 | 1.5× | 1 |
| Providence Health Plan | $26,511 | 1.5× | 1 |
From the hospital's price-transparency file (2026-05-29); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-05-29); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 1 of 5 stars. Government · Acute · 397 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Tri-City Medical Center for a knee or hip replacement?
In 2024 the average total payment to Tri-City Medical Center for an inpatient hip or knee replacement stay was $18,145 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,420 per outpatient case (APC 5115, 74 cases).
What is Tri-City Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $107,799, 5.9× 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 Tri-City Medical Center?
Yes for Medicare facility payments. North Coast Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $7,750 less than an inpatient stay at Tri-City Medical Center. Not every patient is a surgery-center candidate.
How does Tri-City Medical Center compare with other California hospitals?
Tri-City Medical Center's average total payment per Medicare stay is lower than 87% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Tri-City Medical Center 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 $28,026 across 4 insurers, ranging from $26,511 to $32,192.