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Uci Health-Orange: what a joint replacement costs

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.

Surgery center nearby
$10,036
La Veta Surgical Center, same ZIP
Outpatient here
$15,688
Medicare allowed amount, 127 cases, APC 5115
Inpatient here
$29,813
Avg total payment (incl. patient share), 73 Medicare stays, MS-DRG 470

Medicare prices at Uci Health-Orange

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$29,813$115,3703.9×$15,688
Shoulder replacement$37,477$170,9794.6×$22,310
Hip replacement after a fracture (DRG 522)$35,820$137,9383.9×—

Quality

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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Questions

How much does Medicare pay Uci Health-Orange for a knee or hip replacement?

In 2024 the average total payment to Uci Health-Orange for an inpatient hip or knee replacement stay was $29,813 (MS-DRG 470, 73 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,688 per outpatient case (APC 5115, 127 cases).

What is Uci Health-Orange's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $115,370, 3.9× 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 Uci Health-Orange?

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.

How does Uci Health-Orange compare with other California hospitals?

Uci Health-Orange's average total payment per Medicare stay is higher than 96% of the 119 California hospitals that report inpatient hip or knee replacement.