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Foothill Regional Medical Center: what a joint replacement costs

Tustin, CA 92780 · CMS Certification Number 050780. 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
Allied Surgery Center, same ZIP
Outpatient here
—
Under 11 cases
Inpatient here
$18,589
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Foothill Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,589$132,6687.1×—
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,8741.5×$16,966–$37,8666
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Health Net of California$37,8662.0×1
Elevance/Anthem/Empire$29,6721.6×1
UnitedHealthcare$29,5061.6×1
Blue Shield of California$26,2411.4×1
Cigna$21,7371.2×1
Aetna$16,9660.9×1

From the hospital's price-transparency file (2026-03-18); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-18); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 4.6%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 135 beds

California has no certificate-of-need law.

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Questions

How much does Medicare pay Foothill Regional Medical Center for a knee or hip replacement?

In 2024 the average total payment to Foothill Regional Medical Center for an inpatient hip or knee replacement stay was $18,589 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).

What is Foothill Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $132,668, 7.1× 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 Foothill Regional Medical Center?

Yes for Medicare facility payments. Allied Surgery Center, an orthopedic surgery center same ZIP away, is paid about $10,036 by Medicare for a knee replacement (CPT 27447), $8,553 less than an inpatient stay at Foothill Regional Medical Center. Not every patient is a surgery-center candidate.

How does Foothill Regional Medical Center compare with other California hospitals?

Foothill Regional Medical Center's average total payment per Medicare stay is lower than 77% of the 119 California hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Foothill Regional Medical Center 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 $27,874 across 6 insurers, ranging from $16,966 to $37,866.