Price AtlasInteractive atlas · All states · techysurgeon.comSaint 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.
Medicare prices at Saint John's Health Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,077 | $77,201 | 4.3× | $16,006 |
| Shoulder replacement | $23,791 | $89,748 | 3.8× | $21,887 |
| Hip replacement after a fracture (DRG 522) | $19,706 | $108,839 | 5.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,606 | 2.2× | $25,733–$45,827 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Healthnet | $45,827 | 2.5× | 1 |
| Cigna | $45,624 | 2.5× | 1 |
| Aetna | $43,744 | 2.4× | 1 |
| Blue Shield of California | $35,468 | 2.0× | 1 |
| UnitedHealthcare | $32,821 | 1.8× | 1 |
| Elevance/Anthem/Empire | $25,733 | 1.4× | 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: 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 the average total payment to Saint John's Health Center for an inpatient hip or knee replacement stay was $18,077 (MS-DRG 470, 505 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Saint John's Health Center's average total payment per Medicare stay is lower than 88% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Saint John's Health 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 $39,606 across 6 insurers, ranging from $25,733 to $45,827.