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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $24,005 | $107,000 | 4.5× | $17,429 |
| Shoulder replacement | — | — | — | $24,807 |
| Hip replacement after a fracture (DRG 522) | $25,811 | $132,074 | 5.1× | — |
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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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).
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.
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.
Medicare paid Sutter Santa Rosa Regional Hospital more than 82% of the 119 California hospitals that report inpatient hip or knee replacement.