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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $24,562 | $285,219 | 11.6× | $15,998 |
| Shoulder replacement | $33,010 | $398,201 | 12.1× | $22,664 |
| Hip replacement after a fracture (DRG 522) | $26,066 | $365,868 | 14.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,982 | 1.7× | $30,395–$57,082 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $57,082 | 2.3× | 1 |
| Blue Shield of California | $47,250 | 1.9× | 1 |
| Aetna | $41,982 | 1.7× | 1 |
| Elevance/Anthem/Empire | $36,174 | 1.5× | 1 |
| Heritage Provider Network | $30,395 | 1.2× | 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.
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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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).
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.
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.
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.
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.