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Sutter Maternity & Surgery Center of Santa Cruz: what a joint replacement costs

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.

Surgery center nearby
$12,576
Capitola Surgery Center, 4.2 mi
Outpatient here
$17,546
Medicare allowed amount, 95 cases, APC 5115
Inpatient here
$21,089
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Sutter Maternity & Surgery Center of Santa Cruz

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$21,089$101,3694.8×$17,546
Shoulder replacement———$24,831

Quality

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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Questions

How much does Medicare pay Sutter Maternity & Surgery Center of Santa Cruz for a knee or hip replacement?

In 2024 the average total payment to Sutter Maternity & Surgery Center of Santa Cruz for an inpatient hip or knee replacement stay was $21,089 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $17,546 per outpatient case (APC 5115, 95 cases).

What is Sutter Maternity & Surgery Center of Santa Cruz's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $101,369, 4.8× 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 Sutter Maternity & Surgery Center of Santa Cruz?

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.

How does Sutter Maternity & Surgery Center of Santa Cruz compare with other California hospitals?

Sutter Maternity & Surgery Center of Santa Cruz's average total payment per Medicare stay is higher than 64% of the 119 California hospitals that report inpatient hip or knee replacement.