Covina, CA 91723 · CMS Certification Number 050382. 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 | $20,576 | $66,300 | 3.2× | $16,148 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $22,196 | $104,699 | 4.7× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 193 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Emanate Health Inter-Community Hospital an average of $20,576 per inpatient hip or knee replacement stay (MS-DRG 470, 52 stays) and $16,148 per outpatient case (APC 5115, 31 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,300, 3.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Encore Surgery Center Inc., an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $10,018 less than an inpatient stay at Emanate Health Inter-Community Hospital. Not every patient is a surgery-center candidate.
Medicare paid Emanate Health Inter-Community Hospital more than 55% of the 119 California hospitals that report inpatient hip or knee replacement.