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Emanate Health Inter-Community Hospital: what a joint replacement costs

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.

Surgery center nearby
$10,558
Encore Surgery Center Inc., same ZIP
Outpatient here
$16,148
31 Medicare cases, APC 5115
Inpatient here
$20,576
52 Medicare stays, MS-DRG 470

Medicare prices at Emanate Health Inter-Community Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,576$66,3003.2×$16,148
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$22,196$104,6994.7×—

Quality

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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Questions

How much does Medicare pay Emanate Health Inter-Community Hospital for a knee or hip replacement?

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).

What is Emanate Health Inter-Community Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Emanate Health Inter-Community Hospital?

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.

How does Emanate Health Inter-Community Hospital compare with other California hospitals?

Medicare paid Emanate Health Inter-Community Hospital more than 55% of the 119 California hospitals that report inpatient hip or knee replacement.