Murrieta, CA 92562 · CMS Certification Number 050701. 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 | $20,641 | $111,685 | 5.4× | $16,148 |
| Shoulder replacement | — | — | — | $22,851 |
| Hip replacement after a fracture (DRG 522) | $23,146 | $141,725 | 6.1× | — |
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 240 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Southwest Healthcare Rancho Springs Hospital an average of $20,641 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $16,148 per outpatient case (APC 5115, 101 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $111,685, 5.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Golden Triangle Surgicenter, an orthopedic surgery center same ZIP away, is paid about $10,120 by Medicare for a knee replacement (CPT 27447), $10,521 less than an inpatient stay at Southwest Healthcare Rancho Springs Hospital. Not every patient is a surgery-center candidate.
Medicare paid Southwest Healthcare Rancho Springs Hospital more than 57% of the 119 California hospitals that report inpatient hip or knee replacement.