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Washington Hospital: what a joint replacement costs

Fremont, CA 94538 · CMS Certification Number 050195. 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
$13,116
Fremont Ambulatory Surgery Center, same ZIP
Outpatient here
$18,456
Medicare allowed amount, 991 cases, APC 5115
Inpatient here
$21,283
Avg total payment (incl. patient share), 60 Medicare stays, MS-DRG 470

Medicare prices at Washington Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$21,283$171,8348.1×$18,456
Shoulder replacement$28,133$182,0126.5×$26,168
Hip replacement after a fracture (DRG 522)$27,344$194,7827.1×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 265 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Washington Hospital for a knee or hip replacement?

In 2024 the average total payment to Washington Hospital for an inpatient hip or knee replacement stay was $21,283 (MS-DRG 470, 60 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $18,456 per outpatient case (APC 5115, 991 cases).

What is Washington Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $171,834, 8.1× 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 Washington Hospital?

Yes for Medicare facility payments. Fremont Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $13,116 by Medicare for a knee replacement (CPT 27447), $8,167 less than an inpatient stay at Washington Hospital. Not every patient is a surgery-center candidate.

How does Washington Hospital compare with other California hospitals?

Washington Hospital's average total payment per Medicare stay is higher than 68% of the 119 California hospitals that report inpatient hip or knee replacement.