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San Gabriel Valley Medical Center: what a joint replacement costs

San Gabriel, CA 91776 · CMS Certification Number 050132. 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
San Gabriel Ambulatory Surgery Center, same ZIP
Outpatient here
$16,148
26 Medicare cases, APC 5115
Inpatient here
$19,039
22 Medicare stays, MS-DRG 470

Medicare prices at San Gabriel Valley Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,039$111,0415.8×$16,148
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$21,942$118,7335.4×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 273 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay San Gabriel Valley Medical Center for a knee or hip replacement?

In 2024 Medicare paid San Gabriel Valley Medical Center an average of $19,039 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $16,148 per outpatient case (APC 5115, 26 cases).

What is San Gabriel Valley Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $111,041, 5.8× 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 San Gabriel Valley Medical Center?

Yes for Medicare facility payments. San Gabriel Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $8,481 less than an inpatient stay at San Gabriel Valley Medical Center. Not every patient is a surgery-center candidate.

How does San Gabriel Valley Medical Center compare with other California hospitals?

Medicare paid San Gabriel Valley Medical Center less than 73% of the 119 California hospitals that report inpatient hip or knee replacement.