Price AtlasInteractive atlas · All states · techysurgeon.comGood 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.
Medicare prices at Good Samaritan Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,833 | $327,882 | 15.7× | $18,234 |
| Shoulder replacement | — | — | — | $24,635 |
| Hip replacement after a fracture (DRG 522) | $23,156 | $387,437 | 16.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,685 | 1.1× | $21,532–$49,415 | 13 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $49,415 | 2.4× | 1 |
| Bright Health | $36,461 | 1.8× | 1 |
| UnitedHealthcare | $35,285 | 1.7× | 1 |
| Cigna | $33,635 | 1.6× | 1 |
| Palo Alto Medical | $27,991 | 1.3× | 1 |
| Astiva Health | $23,685 | 1.1× | 1 |
| Rios Health | $23,685 | 1.1× | 1 |
| Rios Southwest Medical Group | $23,685 | 1.1× | 1 |
| Health Net | $23,276 | 1.1× | 1 |
| MedCare Partners | $22,070 | 1.1× | 1 |
| Blue Shield of California | $21,962 | 1.1× | 1 |
| Aetna | $21,532 | 1.0× | 1 |
| Alignment Health Plan | $21,532 | 1.0× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
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.
Open the interactive price tagBuild a reportAll California hospitals
Questions
How much does Medicare pay Good Samaritan Hospital for a knee or hip replacement?
In 2024 the average total payment to Good Samaritan Hospital for an inpatient hip or knee replacement stay was $20,833 (MS-DRG 470, 52 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Good Samaritan Hospital's average total payment per Medicare stay is higher than 61% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Good Samaritan Hospital 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 $23,685 across 13 insurers, ranging from $21,532 to $49,415.