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St Mary's Medical Center: what a joint replacement costs

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.

Surgery center nearby
$13,132
Post Street Surgery Center, LLC, 1.2 mi
Outpatient here
$18,419
49 Medicare cases, APC 5115
Inpatient here
$26,469
46 Medicare stays, MS-DRG 470

Medicare prices at St Mary's Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$26,469$132,7805.0×$18,419
Shoulder replacement————

Quality

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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Questions

How much does Medicare pay St Mary's Medical Center for a knee or hip replacement?

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).

What is St Mary's Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near St Mary's Medical Center?

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.

How does St Mary's Medical Center compare with other California hospitals?

Medicare paid St Mary's Medical Center more than 90% of the 119 California hospitals that report inpatient hip or knee replacement.