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Clovis Community Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,494
Kaizen Surgery Center, same ZIP
Outpatient here
$15,896
Medicare allowed amount, 106 cases, APC 5115
Inpatient here
$18,514
Avg total payment (incl. patient share), 24 Medicare stays, MS-DRG 470

Medicare prices at Clovis Community Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,514$102,1925.5×$15,896
Shoulder replacement———$20,322
Hip replacement after a fracture (DRG 522)$22,571$93,4544.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$13,8340.7×$11,946–$22,3237
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Kaiser Permanente$22,3231.2×1
Network by Design$14,4820.8×1
Cigna$14,1950.8×1
Aetna$13,8340.7×1
UnitedHealthcare$12,0700.7×1
Blue Shield of California$11,9890.6×1
Humana$11,9460.6×1

From the hospital's price-transparency file (2026-06-15); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-06-15); commercial plans, dollar-amount contracts only.

Quality

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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Questions

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

In 2024 the average total payment to Clovis Community Medical Center for an inpatient hip or knee replacement stay was $18,514 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,896 per outpatient case (APC 5115, 106 cases).

What is Clovis Community Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $102,192, 5.5× 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 Clovis Community Medical Center?

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.

How does Clovis Community Medical Center compare with other California hospitals?

Clovis Community Medical Center's average total payment per Medicare stay is lower than 80% of the 119 California hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Clovis Community Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $13,834 across 7 insurers, ranging from $11,946 to $22,323.