Ventura, CA 93003 · CMS Certification Number 050394. 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 | $21,283 | $90,741 | 4.3× | $16,148 |
| Shoulder replacement | — | — | — | $22,066 |
| Hip replacement after a fracture (DRG 522) | $23,930 | $81,993 | 3.4× | — |
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 242 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Community Memorial Hospital - Ventura an average of $21,283 per inpatient hip or knee replacement stay (MS-DRG 470, 63 stays) and $16,148 per outpatient case (APC 5115, 207 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,741, 4.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. T Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,445 by Medicare for a knee replacement (CPT 27447), $10,838 less than an inpatient stay at Community Memorial Hospital - Ventura. Not every patient is a surgery-center candidate.
Medicare paid Community Memorial Hospital - Ventura more than 68% of the 119 California hospitals that report inpatient hip or knee replacement.