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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Good Samaritan Hospital more than 61% of the 119 California hospitals that report inpatient hip or knee replacement.