Stanford, CA 94305 · CMS Certification Number 050441. 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 | $30,883 | $250,769 | 8.1× | $18,461 |
| Shoulder replacement | $38,587 | $257,528 | 6.7× | $26,169 |
| Hip replacement after a fracture (DRG 522) | $34,232 | $336,773 | 9.8× | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 613 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Stanford Health Care an average of $30,883 per inpatient hip or knee replacement stay (MS-DRG 470, 191 stays) and $18,461 per outpatient case (APC 5115, 464 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $250,769, 8.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgecenter of Palo Alto, an orthopedic surgery center 2.1 mi away, is paid about $13,221 by Medicare for a knee replacement (CPT 27447), $17,662 less than an inpatient stay at Stanford Health Care. Not every patient is a surgery-center candidate.
Medicare paid Stanford Health Care more than 97% of the 119 California hospitals that report inpatient hip or knee replacement.