Simi Valley, CA 93065 · CMS Certification Number 050236. 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 | $17,737 | $129,283 | 7.3× | $15,997 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $22,778 | $159,708 | 7.0× | — |
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 149 beds
California has no certificate-of-need law.
Open the interactive price tagBuild a reportAll California hospitals
In 2024 Medicare paid Adventist Health Simi Valley an average of $17,737 per inpatient hip or knee replacement stay (MS-DRG 470, 37 stays) and $15,997 per outpatient case (APC 5115, 95 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $129,283, 7.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Aspen Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,445 by Medicare for a knee replacement (CPT 27447), $7,292 less than an inpatient stay at Adventist Health Simi Valley. Not every patient is a surgery-center candidate.
Medicare paid Adventist Health Simi Valley less than 92% of the 119 California hospitals that report inpatient hip or knee replacement.