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Palomar Medical Center Poway: what a joint replacement costs

Poway, CA 92064 · CMS Certification Number 050636. 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
$10,395
Poway Surgery Center, same ZIP
Outpatient here
$11,347
133 Medicare cases, APC 5115
Inpatient here
$11,129
16 Medicare stays, MS-DRG 470

Medicare prices at Palomar Medical Center Poway

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$11,129$104,8589.4×$11,347
Shoulder replacement———$15,780

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 236 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Palomar Medical Center Poway for a knee or hip replacement?

In 2024 Medicare paid Palomar Medical Center Poway an average of $11,129 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $11,347 per outpatient case (APC 5115, 133 cases).

What is Palomar Medical Center Poway's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,858, 9.4× what Medicare paid. 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 Palomar Medical Center Poway?

Yes for Medicare facility payments. Poway Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,395 by Medicare for a knee replacement (CPT 27447), $734 less than an inpatient stay at Palomar Medical Center Poway. Not every patient is a surgery-center candidate.

How does Palomar Medical Center Poway compare with other California hospitals?

Medicare paid Palomar Medical Center Poway less than 99% of the 119 California hospitals that report inpatient hip or knee replacement.