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Stanford Health Care: what a joint replacement costs

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.

Surgery center nearby
$13,221
Surgecenter of Palo Alto, 2.1 mi
Outpatient here
$18,461
464 Medicare cases, APC 5115
Inpatient here
$30,883
191 Medicare stays, MS-DRG 470

Medicare prices at Stanford Health Care

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$30,883$250,7698.1×$18,461
Shoulder replacement$38,587$257,5286.7×$26,169
Hip replacement after a fracture (DRG 522)$34,232$336,7739.8×—

Quality

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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Questions

How much does Medicare pay Stanford Health Care for a knee or hip replacement?

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).

What is Stanford Health Care's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Stanford Health Care?

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.

How does Stanford Health Care compare with other California hospitals?

Medicare paid Stanford Health Care more than 97% of the 119 California hospitals that report inpatient hip or knee replacement.