Modesto, CA 95355 · CMS Certification Number 050557. 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 | $21,468 | $107,187 | 5.0× | $15,933 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $20,193 | $126,594 | 6.3× | — |
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 275 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Memorial Medical Center an average of $21,468 per inpatient hip or knee replacement stay (MS-DRG 470, 73 stays) and $15,933 per outpatient case (APC 5115, 135 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $107,187, 5.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Coffee Road Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $10,567 by Medicare for a knee replacement (CPT 27447), $10,901 less than an inpatient stay at Memorial Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Memorial Medical Center more than 71% of the 119 California hospitals that report inpatient hip or knee replacement.