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Saint John's Health Center: what a joint replacement costs

Santa Monica, CA 90404 · CMS Certification Number 050290. 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
Pacific Surgery Center of Sant, same ZIP
Outpatient here
$16,006
265 Medicare cases, APC 5115
Inpatient here
$18,077
505 Medicare stays, MS-DRG 470

Medicare prices at Saint John's Health Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,077$77,2014.3×$16,006
Shoulder replacement$23,791$89,7483.8×$21,887
Hip replacement after a fracture (DRG 522)$19,706$108,8395.5×—

Quality

Complications after hip or knee replacement: 2.3% (better than the national rate). Readmissions: 3.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 317 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Saint John's Health Center for a knee or hip replacement?

In 2024 Medicare paid Saint John's Health Center an average of $18,077 per inpatient hip or knee replacement stay (MS-DRG 470, 505 stays) and $16,006 per outpatient case (APC 5115, 265 cases).

What is Saint John's Health Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $77,201, 4.3× 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 Saint John's Health Center?

Yes for Medicare facility payments. Pacific Surgery Center of Sant, an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $7,519 less than an inpatient stay at Saint John's Health Center. Not every patient is a surgery-center candidate.

How does Saint John's Health Center compare with other California hospitals?

Medicare paid Saint John's Health Center less than 88% of the 119 California hospitals that report inpatient hip or knee replacement.