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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,589 | $132,668 | 7.1× | — |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,874 | 1.5× | $16,966–$37,866 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Health Net of California | $37,866 | 2.0× | 1 |
| Elevance/Anthem/Empire | $29,672 | 1.6× | 1 |
| UnitedHealthcare | $29,506 | 1.6× | 1 |
| Blue Shield of California | $26,241 | 1.4× | 1 |
| Cigna | $21,737 | 1.2× | 1 |
| Aetna | $16,966 | 0.9× | 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.
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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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).
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.
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.
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.
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.