Price AtlasInteractive atlas · All states · techysurgeon.comHoag Memorial Hospital Presbyterian: what a joint replacement costs
Newport Beach, CA 92663 · CMS Certification Number 050224. 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.
Medicare prices at Hoag Memorial Hospital Presbyterian
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $16,148 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $19,528 | $94,405 | 4.8× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $33,608 | — | $23,326–$43,891 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Blue Shield of California | $43,891 | — | 1 |
| Cigna | $23,326 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 409 beds
California has no certificate-of-need law.
Open the interactive price tagBuild a reportAll California hospitals
Questions
How much does Medicare pay Hoag Memorial Hospital Presbyterian for a knee or hip replacement?
The Medicare allowed amount averaged $16,148 per outpatient hip or knee replacement case (APC 5115, 26 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Hoag Memorial Hospital Presbyterian?
Yes for Medicare facility payments. Prime Surgical Center of Newport Beach, LLC, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Hoag Memorial Hospital Presbyterian for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $33,608 across 2 insurers, ranging from $23,326 to $43,891.