Monterey, CA 93940 · CMS Certification Number 050145. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $23,550 | $129,394 | 5.5× | $18,490 |
| Shoulder replacement | $27,775 | $153,148 | 5.5× | $26,168 |
| Hip replacement after a fracture (DRG 522) | $23,075 | $132,501 | 5.7× | — |
Complications after hip or knee replacement: 5.2% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 286 beds
California has no certificate-of-need law.
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In 2024 the average total payment to Community Hospital of the Monterey Peninsula for an inpatient hip or knee replacement stay was $23,550 (MS-DRG 470, 60 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $18,490 per outpatient case (APC 5115, 177 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $129,394, 5.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Monterey Peninsula Surgery Center Munras Avenue, an orthopedic surgery center same ZIP away, is paid about $12,330 by Medicare for a knee replacement (CPT 27447), $11,220 less than an inpatient stay at Community Hospital of the Monterey Peninsula. Not every patient is a surgery-center candidate.
Community Hospital of the Monterey Peninsula's average total payment per Medicare stay is higher than 79% of the 119 California hospitals that report inpatient hip or knee replacement.