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Community Hospital of the Monterey Peninsula: what a joint replacement costs

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.

Surgery center nearby
$12,330
Monterey Peninsula Surgery Center Munras Avenue, same ZIP
Outpatient here
$18,490
Medicare allowed amount, 177 cases, APC 5115
Inpatient here
$23,550
Avg total payment (incl. patient share), 60 Medicare stays, MS-DRG 470

Medicare prices at Community Hospital of the Monterey Peninsula

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$23,550$129,3945.5×$18,490
Shoulder replacement$27,775$153,1485.5×$26,168
Hip replacement after a fracture (DRG 522)$23,075$132,5015.7×—

Quality

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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Questions

How much does Medicare pay Community Hospital of the Monterey Peninsula for a knee or hip replacement?

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).

What is Community Hospital of the Monterey Peninsula's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Community Hospital of the Monterey Peninsula?

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.

How does Community Hospital of the Monterey Peninsula compare with other California hospitals?

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.