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Pih Health Good Samaritan Hospital: what a joint replacement costs

Los Angeles, CA 90017 · CMS Certification Number 050471. 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
$10,558
Select Surgical LLC, same ZIP
Outpatient here
$16,148
Medicare allowed amount, 16 cases, APC 5115
Inpatient here
$21,180
Avg total payment (incl. patient share), 26 Medicare stays, MS-DRG 470

Medicare prices at Pih Health Good Samaritan Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$21,180$133,8956.3×$16,148
Shoulder replacement————

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 408 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Pih Health Good Samaritan Hospital for a knee or hip replacement?

In 2024 the average total payment to Pih Health Good Samaritan Hospital for an inpatient hip or knee replacement stay was $21,180 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,148 per outpatient case (APC 5115, 16 cases).

What is Pih Health Good Samaritan Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $133,895, 6.3× the average total payment for a Medicare stay. 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 Pih Health Good Samaritan Hospital?

Yes for Medicare facility payments. Select Surgical LLC, an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $10,622 less than an inpatient stay at Pih Health Good Samaritan Hospital. Not every patient is a surgery-center candidate.

How does Pih Health Good Samaritan Hospital compare with other California hospitals?

Pih Health Good Samaritan Hospital's average total payment per Medicare stay is higher than 66% of the 119 California hospitals that report inpatient hip or knee replacement.