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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,757 | $163,569 | 8.7× | $16,263 |
| Shoulder replacement | — | — | — | $23,737 |
| Hip replacement after a fracture (DRG 522) | $20,921 | $174,129 | 8.3× | — |
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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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).
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.
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.
Medicare paid Mercy Hospital of Folsom less than 75% of the 119 California hospitals that report inpatient hip or knee replacement.