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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $11,129 | $104,858 | 9.4× | $11,347 |
| Shoulder replacement | — | — | — | $15,780 |
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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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).
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.
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.
Medicare paid Palomar Medical Center Poway less than 99% of the 119 California hospitals that report inpatient hip or knee replacement.