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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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.
Open the interactive price tagBuild a reportAll California hospitals
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).
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.
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.
Medicare paid Saint John's Health Center less than 88% of the 119 California hospitals that report inpatient hip or knee replacement.