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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,283 | $171,834 | 8.1× | $18,456 |
| Shoulder replacement | $28,133 | $182,012 | 6.5× | $26,168 |
| Hip replacement after a fracture (DRG 522) | $27,344 | $194,782 | 7.1× | — |
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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In 2024 Medicare paid Washington Hospital an average of $21,283 per inpatient hip or knee replacement stay (MS-DRG 470, 60 stays) and $18,456 per outpatient case (APC 5115, 991 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $171,834, 8.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Washington Hospital more than 68% of the 119 California hospitals that report inpatient hip or knee replacement.