San Francisco, CA 94109 · CMS Certification Number 050152. 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 | $26,934 | $149,640 | 5.6× | — |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 288 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Saint Francis Memorial Hospital an average of $26,934 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $149,640, 5.6× 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 Francisco Surgery Center, an orthopedic surgery center 0.8 mi away, is paid about $13,132 by Medicare for a knee replacement (CPT 27447), $13,802 less than an inpatient stay at Saint Francis Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Saint Francis Memorial Hospital more than 92% of the 119 California hospitals that report inpatient hip or knee replacement.