Berkeley, CA 94705 · CMS Certification Number 050305. 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 | $24,276 | $104,430 | 4.3× | — |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $24,707 | $117,539 | 4.8× | — |
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 4.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 555 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Alta Bates Summit Medical Center - Alta Bates Camp an average of $24,276 per inpatient hip or knee replacement stay (MS-DRG 470, 56 stays).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,430, 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. Bay Surgery Center, an orthopedic surgery center 2.5 mi away, is paid about $13,116 by Medicare for a knee replacement (CPT 27447), $11,160 less than an inpatient stay at Alta Bates Summit Medical Center - Alta Bates Camp. Not every patient is a surgery-center candidate.
Medicare paid Alta Bates Summit Medical Center - Alta Bates Camp more than 82% of the 119 California hospitals that report inpatient hip or knee replacement.