Price AtlasInteractive atlas · All states · techysurgeon.comMemorialcare Orange Coast Medical Center: what a joint replacement costs
Fountain Valley, CA 92708 · CMS Certification Number 050678. 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.
Medicare prices at Memorialcare Orange Coast Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,483 | $97,139 | 5.0× | $15,992 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $19,925 | $112,465 | 5.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,876 | 1.8× | $25,999–$47,568 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Healthcare Partners | $47,568 | 2.4× | 1 |
| UnitedHealthcare | $44,400 | 2.3× | 1 |
| Centivo | $43,331 | 2.2× | 1 |
| Cigna | $39,767 | 2.0× | 1 |
| Healthnet | $36,092 | 1.9× | 1 |
| Aetna | $35,659 | 1.8× | 1 |
| Elevance/Anthem/Empire | $31,392 | 1.6× | 1 |
| Monarch Health Plan | $31,006 | 1.6× | 1 |
| Blue Shield of California | $28,905 | 1.5× | 1 |
| Select Health | $25,999 | 1.3× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 210 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Memorialcare Orange Coast Medical Center for a knee or hip replacement?
In 2024 the average total payment to Memorialcare Orange Coast Medical Center for an inpatient hip or knee replacement stay was $19,483 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,992 per outpatient case (APC 5115, 86 cases).
What is Memorialcare Orange Coast Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $97,139, 5.0× 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 Memorialcare Orange Coast Medical Center?
Yes for Medicare facility payments. Surgitek ASC, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447), $9,447 less than an inpatient stay at Memorialcare Orange Coast Medical Center. Not every patient is a surgery-center candidate.
How does Memorialcare Orange Coast Medical Center compare with other California hospitals?
Memorialcare Orange Coast Medical Center's average total payment per Medicare stay is lower than 66% of the 119 California hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Memorialcare Orange Coast 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 $35,876 across 10 insurers, ranging from $25,999 to $47,568.