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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,910 | $111,398 | 7.0× | $15,876 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,797 | $112,315 | 6.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,078 | 1.6× | $18,240–$32,764 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Healthnet HMO | $32,764 | 2.1× | 1 |
| UnitedHealthcare | $32,155 | 2.0× | 1 |
| Elevance/Anthem/Empire | $30,342 | 1.9× | 1 |
| Healthnet PPO Enhanced | $21,813 | 1.4× | 1 |
| Cigna | $20,736 | 1.3× | 1 |
| Blue Shield of California | $18,240 | 1.1× | 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.
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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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).
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.
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.
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.
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.