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Providence Holy Cross Medical Center: what a joint replacement costs

Mission Hills, CA 91346 · CMS Certification Number 050278. 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
Providence Holy Cross Surgery Center, 0.9 mi
Outpatient here
$15,709
31 Medicare cases, APC 5115
Inpatient here
$19,811
11 Medicare stays, MS-DRG 470

Medicare prices at Providence Holy Cross Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,811$102,7025.2×$15,709
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$22,011$119,4625.4×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 257 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Providence Holy Cross Medical Center for a knee or hip replacement?

In 2024 Medicare paid Providence Holy Cross Medical Center an average of $19,811 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $15,709 per outpatient case (APC 5115, 31 cases).

What is Providence Holy Cross Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,702, 5.2× 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 Providence Holy Cross Medical Center?

Yes for Medicare facility payments. Providence Holy Cross Surgery Center, an orthopedic surgery center 0.9 mi away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $9,253 less than an inpatient stay at Providence Holy Cross Medical Center. Not every patient is a surgery-center candidate.

How does Providence Holy Cross Medical Center compare with other California hospitals?

Medicare paid Providence Holy Cross Medical Center less than 60% of the 119 California hospitals that report inpatient hip or knee replacement.