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Adventist Health Simi Valley: what a joint replacement costs

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.

Surgery center nearby
$10,445
Aspen Surgery Center, same ZIP
Outpatient here
$15,997
95 Medicare cases, APC 5115
Inpatient here
$17,737
37 Medicare stays, MS-DRG 470

Medicare prices at Adventist Health Simi Valley

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,737$129,2837.3×$15,997
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$22,778$159,7087.0×—

Quality

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.

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Questions

How much does Medicare pay Adventist Health Simi Valley for a knee or hip replacement?

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).

What is Adventist Health Simi Valley's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Adventist Health Simi Valley?

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.

How does Adventist Health Simi Valley compare with other California hospitals?

Medicare paid Adventist Health Simi Valley less than 92% of the 119 California hospitals that report inpatient hip or knee replacement.