San Francisco, CA 94117 · CMS Certification Number 050457. 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 | $26,469 | $132,780 | 5.0× | $18,419 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 4.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 275 beds
California has no certificate-of-need law.
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In 2024 Medicare paid St Mary's Medical Center an average of $26,469 per inpatient hip or knee replacement stay (MS-DRG 470, 46 stays) and $18,419 per outpatient case (APC 5115, 49 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $132,780, 5.0× 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 1.2 mi away, is paid about $13,132 by Medicare for a knee replacement (CPT 27447), $13,337 less than an inpatient stay at St Mary's Medical Center. Not every patient is a surgery-center candidate.
Medicare paid St Mary's Medical Center more than 90% of the 119 California hospitals that report inpatient hip or knee replacement.