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Mercy Hospital of Folsom: what a joint replacement costs

Folsom, CA 95630 · CMS Certification Number 050414. 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
$12,209
Folsom Total Joint Center, LLC, same ZIP
Outpatient here
$16,263
89 Medicare cases, APC 5115
Inpatient here
$18,757
24 Medicare stays, MS-DRG 470

Medicare prices at Mercy Hospital of Folsom

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,757$163,5698.7×$16,263
Shoulder replacement———$23,737
Hip replacement after a fracture (DRG 522)$20,921$174,1298.3×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 106 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Mercy Hospital of Folsom for a knee or hip replacement?

In 2024 Medicare paid Mercy Hospital of Folsom an average of $18,757 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $16,263 per outpatient case (APC 5115, 89 cases).

What is Mercy Hospital of Folsom's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $163,569, 8.7× 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 Mercy Hospital of Folsom?

Yes for Medicare facility payments. Folsom Total Joint Center, LLC, an orthopedic surgery center same ZIP away, is paid about $12,209 by Medicare for a knee replacement (CPT 27447), $6,548 less than an inpatient stay at Mercy Hospital of Folsom. Not every patient is a surgery-center candidate.

How does Mercy Hospital of Folsom compare with other California hospitals?

Medicare paid Mercy Hospital of Folsom less than 75% of the 119 California hospitals that report inpatient hip or knee replacement.