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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $29,131 | $164,082 | 5.6× | $16,148 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $34,042 | $211,684 | 6.2× | — |
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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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).
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.
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.
Medicare paid Loma Linda University Medical Center more than 95% of the 119 California hospitals that report inpatient hip or knee replacement.