Redwood City, CA 94062 · CMS Certification Number 050197. 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 | $20,602 | $166,386 | 8.1× | $18,434 |
| Shoulder replacement | — | — | — | $26,169 |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 208 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Sequoia Hospital an average of $20,602 per inpatient hip or knee replacement stay (MS-DRG 470, 153 stays) and $18,434 per outpatient case (APC 5115, 299 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $166,386, 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. Surgery Center San Carlos, an orthopedic surgery center 5.2 mi away, is paid about $13,132 by Medicare for a knee replacement (CPT 27447), $7,470 less than an inpatient stay at Sequoia Hospital. Not every patient is a surgery-center candidate.
Medicare paid Sequoia Hospital more than 56% of the 119 California hospitals that report inpatient hip or knee replacement.