Price AtlasInteractive atlas · All states · techysurgeon.comLos Robles Hospital & Medical Center: what a joint replacement costs
Thousand Oaks, CA 91360 · CMS Certification Number 050549. 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.
Medicare prices at Los Robles Hospital & Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,960 | $281,248 | 14.1× | $15,948 |
| Shoulder replacement | $26,455 | $370,882 | 14.0× | $21,445 |
| Hip replacement after a fracture (DRG 522) | $20,956 | $318,692 | 15.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,493 | 1.9× | $21,697–$77,706 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $77,706 | 3.9× | 1 |
| Elevance/Anthem/Empire | $48,685 | 2.4× | 1 |
| UnitedHealthcare | $38,493 | 1.9× | 1 |
| Aetna | $31,208 | 1.6× | 1 |
| Blue Shield of California | $21,697 | 1.1× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 273 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Los Robles Hospital & Medical Center for a knee or hip replacement?
In 2024 the average total payment to Los Robles Hospital & Medical Center for an inpatient hip or knee replacement stay was $19,960 (MS-DRG 470, 104 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,948 per outpatient case (APC 5115, 507 cases).
What is Los Robles Hospital & Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $281,248, 14.1× 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 Los Robles Hospital & Medical Center?
Yes for Medicare facility payments. Saxon Surgical Center Inc, an orthopedic surgery center same ZIP away, is paid about $10,445 by Medicare for a knee replacement (CPT 27447), $9,515 less than an inpatient stay at Los Robles Hospital & Medical Center. Not every patient is a surgery-center candidate.
How does Los Robles Hospital & Medical Center compare with other California hospitals?
Los Robles Hospital & Medical Center's average total payment per Medicare stay is lower than 57% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Los Robles Hospital & 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 $38,493 across 5 insurers, ranging from $21,697 to $77,706.