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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Providence St. Jude Medical Center less than 50% of the 119 California hospitals that report inpatient hip or knee replacement.