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Scripps Green Hospital: what a joint replacement costs

La Jolla, CA 92037 · CMS Certification Number 050424. 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
$10,395
Outpatient Surgery Center of La Jolla, same ZIP
Outpatient here
$16,052
603 Medicare cases, APC 5115
Inpatient here
$21,624
475 Medicare stays, MS-DRG 470

Medicare prices at Scripps Green Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$21,624$125,8055.8×$16,052
Shoulder replacement$29,182$181,3576.2×$22,673

Quality

Complications after hip or knee replacement: 2.8% (no different from the national rate). Readmissions: 4.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 173 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Scripps Green Hospital for a knee or hip replacement?

In 2024 Medicare paid Scripps Green Hospital an average of $21,624 per inpatient hip or knee replacement stay (MS-DRG 470, 475 stays) and $16,052 per outpatient case (APC 5115, 603 cases).

What is Scripps Green Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $125,805, 5.8× 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 Scripps Green Hospital?

Yes for Medicare facility payments. Outpatient Surgery Center of La Jolla, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $11,229 less than an inpatient stay at Scripps Green Hospital. Not every patient is a surgery-center candidate.

How does Scripps Green Hospital compare with other California hospitals?

Medicare paid Scripps Green Hospital more than 73% of the 119 California hospitals that report inpatient hip or knee replacement.