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Memorial Medical Center: what a joint replacement costs

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.

Surgery center nearby
$10,567
Coffee Road Surgery Center, LLC, same ZIP
Outpatient here
$15,933
Medicare allowed amount, 135 cases, APC 5115
Inpatient here
$21,468
Avg total payment (incl. patient share), 73 Medicare stays, MS-DRG 470

Medicare prices at Memorial Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$21,468$107,1875.0×$15,933
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$20,193$126,5946.3×—

Quality

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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Questions

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

In 2024 the average total payment to Memorial Medical Center for an inpatient hip or knee replacement stay was $21,468 (MS-DRG 470, 73 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,933 per outpatient case (APC 5115, 135 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $107,187, 5.0× 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 Memorial Medical Center?

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.

How does Memorial Medical Center compare with other California hospitals?

Memorial Medical Center's average total payment per Medicare stay is higher than 71% of the 119 California hospitals that report inpatient hip or knee replacement.