Santa Cruz, CA 95065 · CMS Certification Number 050714. 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 | $21,089 | $101,369 | 4.8× | $17,546 |
| Shoulder replacement | — | — | — | $24,831 |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.3%. Nonprofit · Acute · 30 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Sutter Maternity & Surgery Center of Santa Cruz an average of $21,089 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $17,546 per outpatient case (APC 5115, 95 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $101,369, 4.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Capitola Surgery Center, an orthopedic surgery center 4.2 mi away, is paid about $12,576 by Medicare for a knee replacement (CPT 27447), $8,513 less than an inpatient stay at Sutter Maternity & Surgery Center of Santa Cruz. Not every patient is a surgery-center candidate.
Medicare paid Sutter Maternity & Surgery Center of Santa Cruz more than 64% of the 119 California hospitals that report inpatient hip or knee replacement.