Price AtlasInteractive atlas · All states · techysurgeon.comProvidence 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.
Medicare prices at Providence Holy Cross Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,811 | $102,702 | 5.2× | $15,709 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $22,011 | $119,462 | 5.4× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,630 | 1.8× | $23,259–$40,201 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| First Health/Coventry (rental network) | $130,383 | 6.6× | 1 |
| Aetna | $40,201 | 2.0× | 1 |
| Healthnet | $38,210 | 1.9× | 1 |
| UnitedHealthcare | $38,149 | 1.9× | 1 |
| Blue Shield of California | $33,111 | 1.7× | 1 |
| Elevance/Anthem/Empire | $25,733 | 1.3× | 1 |
| Cigna | $23,259 | 1.2× | 1 |
| MultiPlan/PHCS (rental network) | $14,157 | 0.7× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Providence Holy Cross Medical Center for an inpatient hip or knee replacement stay was $19,811 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Providence Holy Cross Medical Center's average total payment per Medicare stay is lower than 60% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Providence Holy Cross Medical Center 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 $35,630 across 6 insurers, ranging from $23,259 to $40,201.