Price AtlasInteractive atlas · All states · techysurgeon.comProvidence St. Jude Medical Center: what a joint replacement costs
Fullerton, CA 92835 · CMS Certification Number 050168. 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.
Medicare prices at Providence St. Jude Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,222 | $68,610 | 3.4× | $16,021 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $20,948 | $81,723 | 3.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,206 | 1.6× | $21,199–$40,868 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Healthnet | $40,868 | 2.0× | 1 |
| UnitedHealthcare | $37,767 | 1.9× | 1 |
| Blue Shield of California | $35,579 | 1.8× | 1 |
| Cigna | $28,832 | 1.4× | 1 |
| Elevance/Anthem/Empire | $24,290 | 1.2× | 1 |
| Oscar | $21,199 | 1.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 301 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Providence St. Jude Medical Center for a knee or hip replacement?
In 2024 the average total payment to Providence St. Jude Medical Center for an inpatient hip or knee replacement stay was $20,222 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,021 per outpatient case (APC 5115, 221 cases).
What is Providence St. Jude Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,610, 3.4× 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 Providence St. Jude Medical Center?
Yes for Medicare facility payments. Fullerton Surgical Center, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447), $10,186 less than an inpatient stay at Providence St. Jude Medical Center. Not every patient is a surgery-center candidate.
How does Providence St. Jude Medical Center compare with other California hospitals?
Providence St. Jude Medical Center's average total payment per Medicare stay is lower than 50% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Providence St. Jude Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $32,206 across 6 insurers, ranging from $21,199 to $40,868.