Pleasanton, CA 94588 · CMS Certification Number 050283. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $21,114 | $143,012 | 6.8× | $18,437 |
| Shoulder replacement | — | — | — | $26,168 |
| Hip replacement after a fracture (DRG 522) | $25,004 | $187,618 | 7.5× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 175 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Stanford Health Care Tri-Valley an average of $21,114 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $18,437 per outpatient case (APC 5115, 420 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $143,012, 6.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hacienda Surgery Center, an orthopedic surgery center same ZIP away, is paid about $13,116 by Medicare for a knee replacement (CPT 27447), $7,998 less than an inpatient stay at Stanford Health Care Tri-Valley. Not every patient is a surgery-center candidate.
Medicare paid Stanford Health Care Tri-Valley more than 65% of the 119 California hospitals that report inpatient hip or knee replacement.