Price AtlasInteractive atlas · All states · techysurgeon.comProvidence 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.
Medicare prices at Providence Santa Rosa Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,710 | $209,684 | 9.7× | $18,390 |
| Shoulder replacement | — | — | — | $26,026 |
| Hip replacement after a fracture (DRG 522) | $26,136 | $233,218 | 8.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $56,238 | 2.6× | $40,039–$62,044 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $62,044 | 2.9× | 1 |
| Blue Shield of California | $60,709 | 2.8× | 1 |
| Healthnet | $51,766 | 2.4× | 1 |
| UnitedHealthcare | $40,039 | 1.8× | 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: 3.3% (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.
Open the interactive price tagBuild a reportAll California hospitals
Questions
How much does Medicare pay Providence Santa Rosa Memorial Hospital for a knee or hip replacement?
In 2024 the average total payment to Providence Santa Rosa Memorial Hospital for an inpatient hip or knee replacement stay was $21,710 (MS-DRG 470, 39 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Providence Santa Rosa Memorial Hospital's average total payment per Medicare stay is higher than 74% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Providence Santa Rosa Memorial Hospital 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 $56,238 across 4 insurers, ranging from $40,039 to $62,044.