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Good Samaritan Hospital: what a joint replacement costs

San Jose, CA 95124 · CMS Certification Number 050380. 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
$13,221
Sutter Samaritan Surgery Center, same ZIP
Outpatient here
$18,234
196 Medicare cases, APC 5115
Inpatient here
$20,833
52 Medicare stays, MS-DRG 470

Medicare prices at Good Samaritan Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,833$327,88215.7×$18,234
Shoulder replacement———$24,635
Hip replacement after a fracture (DRG 522)$23,156$387,43716.7×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 474 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Good Samaritan Hospital for a knee or hip replacement?

In 2024 Medicare paid Good Samaritan Hospital an average of $20,833 per inpatient hip or knee replacement stay (MS-DRG 470, 52 stays) and $18,234 per outpatient case (APC 5115, 196 cases).

What is Good Samaritan Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $327,882, 15.7× what Medicare paid. 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 Good Samaritan Hospital?

Yes for Medicare facility payments. Sutter Samaritan Surgery Center, an orthopedic surgery center same ZIP away, is paid about $13,221 by Medicare for a knee replacement (CPT 27447), $7,612 less than an inpatient stay at Good Samaritan Hospital. Not every patient is a surgery-center candidate.

How does Good Samaritan Hospital compare with other California hospitals?

Medicare paid Good Samaritan Hospital more than 61% of the 119 California hospitals that report inpatient hip or knee replacement.