Los Angeles, CA 90033 · CMS Certification Number 050696. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $26,231 | $142,037 | 5.4× | $15,956 |
| Shoulder replacement | $33,239 | $124,540 | 3.7× | $22,852 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,436 | 1.6× | $23,727–$85,344 | 23 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $85,344 | 3.3× | 1 |
| Cigna | $81,336 | 3.1× | 1 |
| Kaiser Permanente | $67,621 | 2.6× | 1 |
| Healthnet | $61,229 | 2.3× | 1 |
| UnitedHealthcare | $59,044 | 2.3× | 1 |
| Health Plan Of Nevada/Sierra | $55,674 | 2.1× | 1 |
| Aetna | $53,440 | 2.0× | 1 |
| St. Jude Medical Center | $47,453 | 1.8× | 1 |
| Culinary Health Fund | $46,589 | 1.8× | 1 |
| Blue Shield of California | $46,056 | 1.8× | 1 |
| Dignity Health | $42,498 | 1.6× | 1 |
| Humana | $42,436 | 1.6× | 1 |
| Kaweah Delta Health Care | $42,436 | 1.6× | 1 |
| Monarch Health Plan | $40,499 | 1.5× | 1 |
| Riverside Physician Network | $34,404 | 1.3× | 1 |
| Providence Health Network | $33,301 | 1.3× | 1 |
| Usc Athletic Program | $31,827 | 1.2× | 1 |
| Seoul Medical Group | $30,845 | 1.2× | 1 |
| Health Care Support | $29,658 | 1.1× | 1 |
| Axminster Medical Group | $28,472 | 1.1× | 1 |
| Facey Medical Group | $28,472 | 1.1× | 1 |
| Korean American Medical Group | $28,472 | 1.1× | 1 |
| Pioneer Provider Network | $23,727 | 0.9× | 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.
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 4.3%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 285 beds
California has no certificate-of-need law.
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In 2024 the average total payment to Keck Hospital of Usc for an inpatient hip or knee replacement stay was $26,231 (MS-DRG 470, 91 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $15,956 per outpatient case (APC 5115, 303 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $142,037, 5.4× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Downtown L A Ambulatory Surgical Center, an orthopedic surgery center 1.7 mi away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $15,673 less than an inpatient stay at Keck Hospital of Usc. Not every patient is a surgery-center candidate.
Keck Hospital of Usc's average total payment per Medicare stay is higher than 88% of the 119 California hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $42,436 across 23 insurers, ranging from $23,727 to $85,344.