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Providence Saint Joseph Medical Ctr: what a joint replacement costs

Burbank, CA 91505 · CMS Certification Number 050235. 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
$10,558
Alameda Surgery Center, LP, same ZIP
Outpatient here
$16,055
154 Medicare cases, APC 5115
Inpatient here
$19,161
42 Medicare stays, MS-DRG 470

Medicare prices at Providence Saint Joseph Medical Ctr

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,161$102,5425.4×$16,055
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$20,859$111,4125.3×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 360 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Providence Saint Joseph Medical Ctr for a knee or hip replacement?

In 2024 Medicare paid Providence Saint Joseph Medical Ctr an average of $19,161 per inpatient hip or knee replacement stay (MS-DRG 470, 42 stays) and $16,055 per outpatient case (APC 5115, 154 cases).

What is Providence Saint Joseph Medical Ctr's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,542, 5.4× 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 Providence Saint Joseph Medical Ctr?

Yes for Medicare facility payments. Alameda Surgery Center, LP, an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $8,603 less than an inpatient stay at Providence Saint Joseph Medical Ctr. Not every patient is a surgery-center candidate.

How does Providence Saint Joseph Medical Ctr compare with other California hospitals?

Medicare paid Providence Saint Joseph Medical Ctr less than 71% of the 119 California hospitals that report inpatient hip or knee replacement.