Orange, CA 92868 · CMS Certification Number 050348. 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 | $29,813 | $115,370 | 3.9× | $15,688 |
| Shoulder replacement | $37,477 | $170,979 | 4.6× | $22,310 |
| Hip replacement after a fracture (DRG 522) | $35,820 | $137,938 | 3.9× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 415 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Uci Health-Orange an average of $29,813 per inpatient hip or knee replacement stay (MS-DRG 470, 73 stays) and $15,688 per outpatient case (APC 5115, 127 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $115,370, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. La Veta Surgical Center, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447), $19,777 less than an inpatient stay at Uci Health-Orange. Not every patient is a surgery-center candidate.
Medicare paid Uci Health-Orange more than 96% of the 119 California hospitals that report inpatient hip or knee replacement.