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Southwest Healthcare Rancho Springs Hospital: what a joint replacement costs

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.

Surgery center nearby
$10,120
Golden Triangle Surgicenter, same ZIP
Outpatient here
$16,148
Medicare allowed amount, 101 cases, APC 5115
Inpatient here
$20,641
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Southwest Healthcare Rancho Springs Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,641$111,6855.4×$16,148
Shoulder replacement———$22,851
Hip replacement after a fracture (DRG 522)$23,146$141,7256.1×—

Quality

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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Questions

How much does Medicare pay Southwest Healthcare Rancho Springs Hospital for a knee or hip replacement?

In 2024 the average total payment to Southwest Healthcare Rancho Springs Hospital for an inpatient hip or knee replacement stay was $20,641 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $16,148 per outpatient case (APC 5115, 101 cases).

What is Southwest Healthcare Rancho Springs Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $111,685, 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.

Is a knee replacement cheaper at a surgery center near Southwest Healthcare Rancho Springs Hospital?

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.

How does Southwest Healthcare Rancho Springs Hospital compare with other California hospitals?

Southwest Healthcare Rancho Springs Hospital's average total payment per Medicare stay is higher than 57% of the 119 California hospitals that report inpatient hip or knee replacement.