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Doctors Medical Center: what a joint replacement costs

Modesto, CA 95350 · CMS Certification Number 050464. 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
$10,567
River Surgical Institute, Inc, same ZIP
Outpatient here
$16,148
93 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Doctors Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$16,148
Shoulder replacement———$22,346
Hip replacement after a fracture (DRG 522)$22,043$278,44412.6×—

Quality

Complications after hip or knee replacement: 5.9% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 461 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Doctors Medical Center for a knee or hip replacement?

Medicare allowed an average of $16,148 per outpatient hip or knee replacement case (APC 5115, 93 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Doctors Medical Center?

Yes for Medicare facility payments. River Surgical Institute, Inc, an orthopedic surgery center same ZIP away, is paid about $10,567 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.