Price AtlasInteractive atlas · All states · techysurgeon.comProvidence 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.
Medicare prices at Providence Saint Joseph Medical Ctr
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,161 | $102,542 | 5.4× | $16,055 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $20,859 | $111,412 | 5.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,148 | 1.8× | $25,733–$42,052 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| First Health/Coventry (rental network) | $130,383 | 6.8× | 1 |
| Blue Shield of California | $42,052 | 2.2× | 1 |
| Healthnet | $38,862 | 2.0× | 1 |
| Aetna | $35,841 | 1.9× | 1 |
| UnitedHealthcare | $34,454 | 1.8× | 1 |
| MultiPlan/PHCS (rental network) | $34,410 | 1.8× | 1 |
| Cigna | $27,128 | 1.4× | 1 |
| Elevance/Anthem/Empire | $25,733 | 1.3× | 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
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 the average total payment to Providence Saint Joseph Medical Ctr for an inpatient hip or knee replacement stay was $19,161 (MS-DRG 470, 42 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Providence Saint Joseph Medical Ctr's average total payment per Medicare stay is lower than 71% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Providence Saint Joseph Medical Ctr 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 $35,148 across 6 insurers, ranging from $25,733 to $42,052.