Santa Barbara, CA 93105 · CMS Certification Number 050396. 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 | $19,672 | $110,477 | 5.6× | $17,098 |
| Shoulder replacement | — | — | — | $24,472 |
| Hip replacement after a fracture (DRG 522) | $22,027 | $112,420 | 5.1× | — |
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 450 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Santa Barbara Cottage Hospital an average of $19,672 per inpatient hip or knee replacement stay (MS-DRG 470, 100 stays) and $17,098 per outpatient case (APC 5115, 242 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $110,477, 5.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Summit Surgery Center, an orthopedic surgery center same ZIP away, is paid about $11,110 by Medicare for a knee replacement (CPT 27447), $8,562 less than an inpatient stay at Santa Barbara Cottage Hospital. Not every patient is a surgery-center candidate.
Medicare paid Santa Barbara Cottage Hospital less than 61% of the 119 California hospitals that report inpatient hip or knee replacement.