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Providence 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.

Surgery center nearby
$10,036
Fullerton Surgical Center, same ZIP
Outpatient here
$16,021
221 Medicare cases, APC 5115
Inpatient here
$20,222
13 Medicare stays, MS-DRG 470

Medicare prices at Providence St. Jude Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,222$68,6103.4×$16,021
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$20,948$81,7233.9×—

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 Medicare paid Providence St. Jude Medical Center an average of $20,222 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $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× 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 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?

Medicare paid Providence St. Jude Medical Center less than 50% of the 119 California hospitals that report inpatient hip or knee replacement.