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Mercy San Juan Medical Center: what a joint replacement costs

Carmichael, CA 95608 · CMS Certification Number 050516. 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
$12,209
Greater Sacramento Surgery Center, 2.9 mi
Outpatient here
$16,773
Medicare allowed amount, 116 cases, APC 5115
Inpatient here
$20,087
Avg total payment (incl. patient share), 23 Medicare stays, MS-DRG 470

Medicare prices at Mercy San Juan Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,087$147,0727.3×$16,773
Shoulder replacement———$23,737
Hip replacement after a fracture (DRG 522)$22,896$149,8846.5×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 370 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Mercy San Juan Medical Center for a knee or hip replacement?

In 2024 the average total payment to Mercy San Juan Medical Center for an inpatient hip or knee replacement stay was $20,087 (MS-DRG 470, 23 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,773 per outpatient case (APC 5115, 116 cases).

What is Mercy San Juan Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $147,072, 7.3× 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 Mercy San Juan Medical Center?

Yes for Medicare facility payments. Greater Sacramento Surgery Center, an orthopedic surgery center 2.9 mi away, is paid about $12,209 by Medicare for a knee replacement (CPT 27447), $7,878 less than an inpatient stay at Mercy San Juan Medical Center. Not every patient is a surgery-center candidate.

How does Mercy San Juan Medical Center compare with other California hospitals?

Mercy San Juan Medical Center's average total payment per Medicare stay is lower than 55% of the 119 California hospitals that report inpatient hip or knee replacement.