San Ramon, CA 94583 · CMS Certification Number 050689. 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 | $19,941 | $202,371 | 10.1× | $18,023 |
| Shoulder replacement | — | — | — | $25,875 |
| Hip replacement after a fracture (DRG 522) | $21,553 | $249,246 | 11.6× | — |
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 123 beds
California has no certificate-of-need law.
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In 2024 Medicare paid San Ramon Regional Medical Center an average of $19,941 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $18,023 per outpatient case (APC 5115, 64 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $202,371, 10.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Tresanti Medical Corporation,T, an orthopedic surgery center same ZIP away, is paid about $13,116 by Medicare for a knee replacement (CPT 27447), $6,825 less than an inpatient stay at San Ramon Regional Medical Center. Not every patient is a surgery-center candidate.
Medicare paid San Ramon Regional Medical Center less than 58% of the 119 California hospitals that report inpatient hip or knee replacement.