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Sequoia Hospital: what a joint replacement costs

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.

Surgery center nearby
$13,132
Surgery Center San Carlos, 5.2 mi
Outpatient here
$18,434
299 Medicare cases, APC 5115
Inpatient here
$20,602
153 Medicare stays, MS-DRG 470

Medicare prices at Sequoia Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,602$166,3868.1×$18,434
Shoulder replacement———$26,169

Quality

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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Questions

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

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).

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

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.

Is a knee replacement cheaper at a surgery center near Sequoia Hospital?

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.

How does Sequoia Hospital compare with other California hospitals?

Medicare paid Sequoia Hospital more than 56% of the 119 California hospitals that report inpatient hip or knee replacement.