Price AtlasInteractive atlas · All states · techysurgeon.comMemorialcare Saddleback Medical Center: what a joint replacement costs
Laguna Hills, CA 92653 · CMS Certification Number 050603. 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 Memorialcare Saddleback Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $16,148 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $19,443 | $121,087 | 6.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,703 | — | $17,998–$66,113 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Healthnet | $66,113 | — | 1 |
| UnitedHealthcare | $48,135 | — | 1 |
| Centivo | $40,495 | — | 1 |
| Monarch Health Plan | $35,456 | — | 1 |
| Aetna | $35,290 | — | 1 |
| Cigna | $34,116 | — | 1 |
| Elevance/Anthem/Empire | $32,143 | — | 1 |
| Blue Shield of California | $30,551 | — | 1 |
| Select Health | $24,297 | — | 1 |
| Seoul Medical Group | $17,998 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 325 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Memorialcare Saddleback Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $16,148 per outpatient hip or knee replacement case (APC 5115, 55 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Memorialcare Saddleback Medical Center?
Yes for Medicare facility payments. Pacific Anesthesia Surgical Services, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Memorialcare Saddleback Medical Center for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $34,703 across 10 insurers, ranging from $17,998 to $66,113.