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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,039 | $111,041 | 5.8× | $16,148 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $21,942 | $118,733 | 5.4× | — |
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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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).
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.
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.
Medicare paid San Gabriel Valley Medical Center less than 73% of the 119 California hospitals that report inpatient hip or knee replacement.