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Usc Arcadia Hospital: what a joint replacement costs

Arcadia, CA 91006 · CMS Certification Number 050238. 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
Specialty Surgical Center of Arcadia, same ZIP
Outpatient here
$15,876
Medicare allowed amount, 374 cases, APC 5115
Inpatient here
$15,910
Avg total payment (incl. patient share), 81 Medicare stays, MS-DRG 470

Medicare prices at Usc Arcadia Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,910$111,3987.0×$15,876
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$17,797$112,3156.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$26,0781.6×$18,240–$32,7646
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Healthnet HMO$32,7642.1×1
UnitedHealthcare$32,1552.0×1
Elevance/Anthem/Empire$30,3421.9×1
Healthnet PPO Enhanced$21,8131.4×1
Cigna$20,7361.3×1
Blue Shield of California$18,2401.1×1

From the hospital's price-transparency file (2026-07-27); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-27); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 4.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 374 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Usc Arcadia Hospital for a knee or hip replacement?

In 2024 the average total payment to Usc Arcadia Hospital for an inpatient hip or knee replacement stay was $15,910 (MS-DRG 470, 81 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,876 per outpatient case (APC 5115, 374 cases).

What is Usc Arcadia Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $111,398, 7.0× 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 Usc Arcadia Hospital?

Yes for Medicare facility payments. Specialty Surgical Center of Arcadia, an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $5,352 less than an inpatient stay at Usc Arcadia Hospital. Not every patient is a surgery-center candidate.

How does Usc Arcadia Hospital compare with other California hospitals?

Usc Arcadia Hospital's average total payment per Medicare stay is lower than 98% of the 119 California hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Usc Arcadia Hospital 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 $26,078 across 6 insurers, ranging from $18,240 to $32,764.