Price AtlasInteractive atlas · All states · techysurgeon.comLoma 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.
Medicare prices at Loma Linda University Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $45,648 | 1.6× | $38,576–$50,767 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $50,767 | 1.7× | 1 |
| Elevance/Anthem/Empire | $45,912 | 1.6× | 1 |
| EPIC Health Plan | $45,383 | 1.6× | 1 |
| UnitedHealthcare | $38,576 | 1.3× | 1 |
From the hospital's price-transparency file (2026-09-02); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-02); commercial plans, dollar-amount contracts only.
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 the average total payment to Loma Linda University Medical Center for an inpatient hip or knee replacement stay was $29,131 (MS-DRG 470, 23 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Loma Linda University Medical Center's average total payment per Medicare stay is higher than 95% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Loma Linda University Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $45,648 across 4 insurers, ranging from $38,576 to $50,767.