San Luis Obispo, CA 93401 · CMS Certification Number 050232. 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 | $17,925 | $105,063 | 5.9× | $16,045 |
| Shoulder replacement | — | — | — | $22,851 |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 135 beds
California has no certificate-of-need law.
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In 2024 Medicare paid French Hospital Medical Center an average of $17,925 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $16,045 per outpatient case (APC 5115, 290 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $105,063, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. San Luis Obispo Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,522 by Medicare for a knee replacement (CPT 27447), $7,403 less than an inpatient stay at French Hospital Medical Center. Not every patient is a surgery-center candidate.
Medicare paid French Hospital Medical Center less than 92% of the 119 California hospitals that report inpatient hip or knee replacement.