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Loma Linda University Medical Center: what a joint replacement costs

Loma Linda, CA 92354 · CMS Certification Number 050327. 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
$10,120
Loma Linda Surgical Institute, LLC, same ZIP
Outpatient here
$16,148
82 Medicare cases, APC 5115
Inpatient here
$29,131
23 Medicare stays, MS-DRG 470

Medicare prices at Loma Linda University Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$29,131$164,0825.6×$16,148
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$34,042$211,6846.2×—

Quality

Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 533 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Loma Linda University Medical Center for a knee or hip replacement?

In 2024 Medicare paid Loma Linda University Medical Center an average of $29,131 per inpatient hip or knee replacement stay (MS-DRG 470, 23 stays) and $16,148 per outpatient case (APC 5115, 82 cases).

What is Loma Linda University Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $164,082, 5.6× 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 Loma Linda University Medical Center?

Yes for Medicare facility payments. Loma Linda Surgical Institute, LLC, an orthopedic surgery center same ZIP away, is paid about $10,120 by Medicare for a knee replacement (CPT 27447), $19,011 less than an inpatient stay at Loma Linda University Medical Center. Not every patient is a surgery-center candidate.

How does Loma Linda University Medical Center compare with other California hospitals?

Medicare paid Loma Linda University Medical Center more than 95% of the 119 California hospitals that report inpatient hip or knee replacement.