Price AtlasInteractive atlas · All states · techysurgeon.comProvidence Mission Hospital: what a joint replacement costs
Mission Viejo, CA 92691 · CMS Certification Number 050567. 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 Providence Mission Hospital
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,347 | $115,641 | 6.3× | $16,148 |
| Shoulder replacement | — | — | — | $22,852 |
| Hip replacement after a fracture (DRG 522) | $23,230 | $118,191 | 5.1× | — |
Quality
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 565 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Providence Mission Hospital for a knee or hip replacement?
In 2024 Medicare paid Providence Mission Hospital an average of $18,347 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $16,148 per outpatient case (APC 5115, 365 cases).
What is Providence Mission Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $115,641, 6.3× what Medicare paid. 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 Providence Mission Hospital?
Yes for Medicare facility payments. Mission Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447), $8,311 less than an inpatient stay at Providence Mission Hospital. Not every patient is a surgery-center candidate.
How does Providence Mission Hospital compare with other California hospitals?
Medicare paid Providence Mission Hospital less than 83% of the 119 California hospitals that report inpatient hip or knee replacement.