San Francisco, CA 94143 · CMS Certification Number 050454. 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 | $32,373 | $149,465 | 4.6× | $18,418 |
| Shoulder replacement | $40,438 | $192,588 | 4.8× | $25,559 |
| Hip replacement after a fracture (DRG 522) | $37,059 | $206,613 | 5.6× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 1019 beds
California has no certificate-of-need law.
Open the interactive price tagBuild a reportAll California hospitals
In 2024 Medicare paid Ucsf Medical Center an average of $32,373 per inpatient hip or knee replacement stay (MS-DRG 470, 157 stays) and $18,418 per outpatient case (APC 5115, 233 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $149,465, 4.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Post Street Surgery Center, LLC, an orthopedic surgery center 2.0 mi away, is paid about $13,132 by Medicare for a knee replacement (CPT 27447), $19,241 less than an inpatient stay at Ucsf Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Ucsf Medical Center more than 98% of the 119 California hospitals that report inpatient hip or knee replacement.