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Sutter Santa Rosa Regional Hospital: what a joint replacement costs

Santa Rosa, CA 95403 · CMS Certification Number 050291. 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
$12,516
Santa Rosa Surgery and Endoscopy Center, same ZIP
Outpatient here
$17,429
316 Medicare cases, APC 5115
Inpatient here
$24,005
79 Medicare stays, MS-DRG 470

Medicare prices at Sutter Santa Rosa Regional Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$24,005$107,0004.5×$17,429
Shoulder replacement———$24,807
Hip replacement after a fracture (DRG 522)$25,811$132,0745.1×—

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 170 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Sutter Santa Rosa Regional Hospital for a knee or hip replacement?

In 2024 Medicare paid Sutter Santa Rosa Regional Hospital an average of $24,005 per inpatient hip or knee replacement stay (MS-DRG 470, 79 stays) and $17,429 per outpatient case (APC 5115, 316 cases).

What is Sutter Santa Rosa Regional Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $107,000, 4.5× 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 Sutter Santa Rosa Regional Hospital?

Yes for Medicare facility payments. Santa Rosa Surgery and Endoscopy Center, an orthopedic surgery center same ZIP away, is paid about $12,516 by Medicare for a knee replacement (CPT 27447), $11,489 less than an inpatient stay at Sutter Santa Rosa Regional Hospital. Not every patient is a surgery-center candidate.

How does Sutter Santa Rosa Regional Hospital compare with other California hospitals?

Medicare paid Sutter Santa Rosa Regional Hospital more than 82% of the 119 California hospitals that report inpatient hip or knee replacement.