San Dimas, CA 91773 · CMS Certification Number 050588. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,171 | $125,630 | 6.9× | $16,148 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,805 | 1.3× | $18,312–$29,299 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| National Healthcare Solutions, (Nhsi) | $29,299 | 1.6× | 1 |
| Primecare Medical Network | $27,468 | 1.5× | 1 |
| Health Net of CA | $25,746 | 1.4× | 1 |
| Employer Direct Healthcare | $23,805 | 1.3× | 1 |
| Heritage Provider Network | $23,805 | 1.3× | 1 |
| UnitedHealthcare | $23,805 | 1.3× | 1 |
| LA Care Health Plan | $18,312 | 1.0× | 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.
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 101 beds
California has no certificate-of-need law.
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In 2024 the average total payment to San Dimas Community Hospital for an inpatient hip or knee replacement stay was $18,171 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,148 per outpatient case (APC 5115, 19 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $125,630, 6.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Glendora Surgery Center, an orthopedic surgery center 4.1 mi away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $7,613 less than an inpatient stay at San Dimas Community Hospital. Not every patient is a surgery-center candidate.
San Dimas Community Hospital's average total payment per Medicare stay is lower than 86% of the 119 California hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,805 across 7 insurers, ranging from $18,312 to $29,299.