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Providence Santa Rosa Memorial Hospital: what a joint replacement costs

Santa Rosa, CA 95405 · CMS Certification Number 050174. 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
$12,516
Norcal Specialty Surgery Center, 6.2 mi
Outpatient here
$18,390
118 Medicare cases, APC 5115
Inpatient here
$21,710
39 Medicare stays, MS-DRG 470

Medicare prices at Providence Santa Rosa Memorial Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$21,710$209,6849.7×$18,390
Shoulder replacement———$26,026
Hip replacement after a fracture (DRG 522)$26,136$233,2188.9×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 346 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Providence Santa Rosa Memorial Hospital for a knee or hip replacement?

In 2024 Medicare paid Providence Santa Rosa Memorial Hospital an average of $21,710 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $18,390 per outpatient case (APC 5115, 118 cases).

What is Providence Santa Rosa Memorial Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $209,684, 9.7× 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 Santa Rosa Memorial Hospital?

Yes for Medicare facility payments. Norcal Specialty Surgery Center, an orthopedic surgery center 6.2 mi away, is paid about $12,516 by Medicare for a knee replacement (CPT 27447), $9,194 less than an inpatient stay at Providence Santa Rosa Memorial Hospital. Not every patient is a surgery-center candidate.

How does Providence Santa Rosa Memorial Hospital compare with other California hospitals?

Medicare paid Providence Santa Rosa Memorial Hospital more than 74% of the 119 California hospitals that report inpatient hip or knee replacement.