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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Providence Santa Rosa Memorial Hospital more than 74% of the 119 California hospitals that report inpatient hip or knee replacement.