Clovis, CA 93611 · CMS Certification Number 050492. 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 | $18,514 | $102,192 | 5.5× | $15,896 |
| Shoulder replacement | — | — | — | $20,322 |
| Hip replacement after a fracture (DRG 522) | $22,571 | $93,454 | 4.1× | — |
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 352 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Clovis Community Medical Center an average of $18,514 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $15,896 per outpatient case (APC 5115, 106 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,192, 5.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Kaizen Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,494 by Medicare for a knee replacement (CPT 27447), $9,020 less than an inpatient stay at Clovis Community Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Clovis Community Medical Center less than 80% of the 119 California hospitals that report inpatient hip or knee replacement.