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Mission Community Hospital: what a joint replacement costs

Panorama City, CA 91402 · CMS Certification Number 050704. 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
$10,558
Center for Orthopedic Surgery, 1.4 mi
Outpatient here
$16,148
Medicare allowed amount, 43 cases, APC 5115
Inpatient here
$20,571
Avg total payment (incl. patient share), 17 Medicare stays, MS-DRG 470

Medicare prices at Mission Community Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,571$159,8277.8×$16,148
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$32,5271.6×$16,152–$42,1877
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$42,1872.1×1
Aetna$40,8772.0×1
MedCost$34,9291.7×1
Oscar$32,5271.6×1
AmeriHealth$25,9601.3×1
Humana$16,6360.8×1
UnitedHealthcare$16,1520.8×1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 96 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Mission Community Hospital for a knee or hip replacement?

In 2024 the average total payment to Mission Community Hospital for an inpatient hip or knee replacement stay was $20,571 (MS-DRG 470, 17 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, 43 cases).

What is Mission Community Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $159,827, 7.8× 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 Mission Community Hospital?

Yes for Medicare facility payments. Center for Orthopedic Surgery, an orthopedic surgery center 1.4 mi away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $10,013 less than an inpatient stay at Mission Community Hospital. Not every patient is a surgery-center candidate.

How does Mission Community Hospital compare with other California hospitals?

Mission Community Hospital's average total payment per Medicare stay is higher than 54% of the 119 California hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Mission Community Hospital 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 $32,527 across 7 insurers, ranging from $16,152 to $42,187.