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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Cedars-Sinai Medical Center an average of $24,562 per inpatient hip or knee replacement stay (MS-DRG 470, 212 stays) and $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× what Medicare paid. 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.
Medicare paid Cedars-Sinai Medical Center more than 83% of the 119 California hospitals that report inpatient hip or knee replacement.