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Stanford Health Care Tri-Valley: what a joint replacement costs

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.

Surgery center nearby
$13,116
Hacienda Surgery Center, same ZIP
Outpatient here
$18,437
420 Medicare cases, APC 5115
Inpatient here
$21,114
24 Medicare stays, MS-DRG 470

Medicare prices at Stanford Health Care Tri-Valley

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$21,114$143,0126.8×$18,437
Shoulder replacement———$26,168
Hip replacement after a fracture (DRG 522)$25,004$187,6187.5×—

Quality

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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Questions

How much does Medicare pay Stanford Health Care Tri-Valley for a knee or hip replacement?

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).

What is Stanford Health Care Tri-Valley's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Stanford Health Care Tri-Valley?

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.

How does Stanford Health Care Tri-Valley compare with other California hospitals?

Medicare paid Stanford Health Care Tri-Valley more than 65% of the 119 California hospitals that report inpatient hip or knee replacement.