Greenbrae, CA 94904 · CMS Certification Number 050360. 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 | $21,353 | $218,901 | 10.3× | $18,338 |
| Shoulder replacement | — | — | — | $25,953 |
| Hip replacement after a fracture (DRG 522) | $24,146 | $235,960 | 9.8× | — |
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 325 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Marinhealth Medical Center an average of $21,353 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $18,338 per outpatient case (APC 5115, 182 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $218,901, 10.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Greenbrae Surgery Center, an orthopedic surgery center same ZIP away, is paid about $12,874 by Medicare for a knee replacement (CPT 27447), $8,479 less than an inpatient stay at Marinhealth Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Marinhealth Medical Center more than 69% of the 119 California hospitals that report inpatient hip or knee replacement.