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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,571 | $159,827 | 7.8× | $16,148 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,527 | 1.6× | $16,152–$42,187 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $42,187 | 2.1× | 1 |
| Aetna | $40,877 | 2.0× | 1 |
| MedCost | $34,929 | 1.7× | 1 |
| Oscar | $32,527 | 1.6× | 1 |
| AmeriHealth | $25,960 | 1.3× | 1 |
| Humana | $16,636 | 0.8× | 1 |
| UnitedHealthcare | $16,152 | 0.8× | 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.
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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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).
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.
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.
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.
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.