Los Angeles, CA 90036 · CMS Certification Number 050785. 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 | $17,383 | $115,341 | 6.6× | $16,148 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.1%. Physician-owned · Acute · 17 beds
California has no certificate-of-need law.
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In 2024 Medicare paid Docs Surgical Hospital an average of $17,383 per inpatient hip or knee replacement stay (MS-DRG 470, 40 stays) and $16,148 per outpatient case (APC 5115, 13 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $115,341, 6.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Miracle Mile Outpatient Surger, an orthopedic surgery center same ZIP away, is paid about $10,558 by Medicare for a knee replacement (CPT 27447), $6,825 less than an inpatient stay at Docs Surgical Hospital. Not every patient is a surgery-center candidate.
Medicare paid Docs Surgical Hospital less than 97% of the 119 California hospitals that report inpatient hip or knee replacement.