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Hoag Orthopedic Institute: what a joint replacement costs

Irvine, CA 92618 · CMS Certification Number 050769. 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
$10,036
Post Surgery Center LLC, same ZIP
Outpatient here
$15,979
1238 Medicare cases, APC 5115
Inpatient here
$17,493
303 Medicare stays, MS-DRG 470

Medicare prices at Hoag Orthopedic Institute

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,493$85,7514.9×$15,979
Shoulder replacement$23,031$147,9916.4×$22,852
Hip replacement after a fracture (DRG 522)$18,581$100,6025.4×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 3.8%. For-profit · Acute · 70 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Hoag Orthopedic Institute for a knee or hip replacement?

In 2024 Medicare paid Hoag Orthopedic Institute an average of $17,493 per inpatient hip or knee replacement stay (MS-DRG 470, 303 stays) and $15,979 per outpatient case (APC 5115, 1238 cases).

What is Hoag Orthopedic Institute's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,751, 4.9× what Medicare paid. 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 Hoag Orthopedic Institute?

Yes for Medicare facility payments. Post Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447), $7,457 less than an inpatient stay at Hoag Orthopedic Institute. Not every patient is a surgery-center candidate.

How does Hoag Orthopedic Institute compare with other California hospitals?

Medicare paid Hoag Orthopedic Institute less than 96% of the 119 California hospitals that report inpatient hip or knee replacement.