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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Los Robles Hospital & Medical Center an average of $19,960 per inpatient hip or knee replacement stay (MS-DRG 470, 104 stays) and $15,948 per outpatient case (APC 5115, 507 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $281,248, 14.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Los Robles Hospital & Medical Center less than 57% of the 119 California hospitals that report inpatient hip or knee replacement.