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Cedars-Sinai Medical Center: what a joint replacement costs

Los Angeles, CA 90048 · CMS Certification Number 050625. 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
$10,558
Tower Outpatient Surgery Center, same ZIP
Outpatient here
$15,998
Medicare allowed amount, 580 cases, APC 5115
Inpatient here
$24,562
Avg total payment (incl. patient share), 212 Medicare stays, MS-DRG 470

Medicare prices at Cedars-Sinai Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$24,562$285,21911.6×$15,998
Shoulder replacement$33,010$398,20112.1×$22,664
Hip replacement after a fracture (DRG 522)$26,066$365,86814.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$41,9821.7×$30,395–$57,0825
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$57,0822.3×1
Blue Shield of California$47,2501.9×1
Aetna$41,9821.7×1
Elevance/Anthem/Empire$36,1741.5×1
Heritage Provider Network$30,3951.2×1

From the hospital's price-transparency file (2025-11-26); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-11-26); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 4.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 877 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Cedars-Sinai Medical Center for a knee or hip replacement?

In 2024 the average total payment to Cedars-Sinai Medical Center for an inpatient hip or knee replacement stay was $24,562 (MS-DRG 470, 212 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,998 per outpatient case (APC 5115, 580 cases).

What is Cedars-Sinai Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $285,219, 11.6× 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 Cedars-Sinai Medical Center?

Yes for Medicare facility payments. Tower Outpatient Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $14,004 less than an inpatient stay at Cedars-Sinai Medical Center. Not every patient is a surgery-center candidate.

How does Cedars-Sinai Medical Center compare with other California hospitals?

Cedars-Sinai Medical Center's average total payment per Medicare stay is higher than 83% of the 119 California hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Cedars-Sinai 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 $41,982 across 5 insurers, ranging from $30,395 to $57,082.