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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
177 Medicare cases, APC 5115
Inpatient here
$23,550
60 Medicare stays, MS-DRG 470

Medicare prices at Community Hospital of the Monterey Peninsula

OperationInpatient paidList priceList ÷ paidOutpatient 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 Medicare paid Community Hospital of the Monterey Peninsula an average of $23,550 per inpatient hip or knee replacement stay (MS-DRG 470, 60 stays) and $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× 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 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?

Medicare paid Community Hospital of the Monterey Peninsula more than 79% of the 119 California hospitals that report inpatient hip or knee replacement.