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Hip fracture replacement in California: what insurers pay

Posted commercial rates at 88 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
Riverside Community Hospital Riverside$5,9810.6×52026-09-01
Fresno Surgical Hospital Fresno$7,1200.8×32026-06-16
Community Regional Medical Center Fresno$7,8040.8×72026-06-18
Clovis Community Medical Center Clovis$7,8040.8×72026-06-15
Stanford Health Care Tri-Valley Pleasanton$7,8160.8×42026-04-01
Hollywood Presbyterian Medical Center Los Angeles$8,4920.9×12026-03-12
Hemet Global Medical Center Hemet$9,3331.0×162026-06-15
Menifee Global Medical Center Sun City$9,3331.0×172026-05-20
Oroville Hospital Oroville$9,3671.0×42026-09-27
Good Samaritan Hospital San Jose$9,3860.9×52026-09-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$9,7781.1×32026-04-01
Providence Saint Joseph Medical Ctr Burbank$9,7781.1×32026-04-01
Providence Holy Cross Medical Center Mission Hills$9,7781.1×32026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$9,7781.1×32026-04-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$9,7781.1×32026-04-01
Saint John's Health Center Santa Monica$9,8341.1×42026-04-01
Rady Children'S Hospital - San Diego San Diego$10,4541.1×52026-04-01
Usc Verdugo Hills Hospital Glendale$10,7121.1×52026-04-01
Providence Mission Hospital Mission Viejo$10,7911.2×52026-04-01
Providence St. Jude Medical Center Fullerton$11,4031.2×52026-04-01
St Mary's Medical Center San Francisco$11,8781.1×62026-04-01
Keck Hospital Of Usc Los Angeles$12,1331.3×92026-04-01
Providence Redwood Memorial Hospital Fortuna$12,1651.3×32026-04-01
Los Angeles Community Hospital Los Angeles$12,3811.3×22026-03-18
Foothill Regional Medical Center Tustin$12,3811.3×22026-03-18
Providence St. Joseph Hospital Orange$12,5221.3×52026-04-01
Memorialcare Saddleback Medical Center Laguna Hills$12,5991.4×92026-04-01
Uci Health-Lakewood Lakewood$14,2321.5×62026-04-01
Providence Queen Of The Valley Medical Center Napa$15,2221.6×42026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$15,5291.7×42026-04-01
Providence Santa Rosa Memorial Hospital Santa Rosa$15,5751.6×32026-04-01
Southern California Hospital At Hollywood Hollywood$15,6481.7×12026-03-18
Palomar Health Downtown Campus Escondido$16,0711.7×22026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$16,1251.7×92026-04-01
Providence St Mary Medical Center Apple Valley$16,2541.7×42026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$16,9491.8×52026-09-01
Palomar Medical Center Poway Poway$17,2101.8×12026-04-01
Providence St Joseph Hospital Eureka$18,0941.9×42026-04-01
Memorialcare Long Beach Medical Center Long Beach$18,7002.0×82026-04-01
University Of California Davis Medical Center Sacramento$20,2822.1×22026-04-01
Cedars-Sinai Medical Center Los Angeles$28,6323.1×32025-11-26
Mission Community Hospital Panorama City$31,0143.3×12026-09-01
Stanford Health Care Stanford$33,8363.2×42026-04-01

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Northbay Medical Center Fairfield$13,3660.6×12026-04-01
College Medical Center Long Beach$16,7890.8×52026-07-01
Clovis Community Medical Center Clovis$18,2650.9×32026-06-15
Chapman Global Medical Center Orange$20,2741.0×92026-05-06
Oak Valley Hospital District Oakdale$21,0471.1×22026-07-17
Victor Valley Global Medical Center Victorville$22,4051.1×112026-05-13
Orange County Global Medical Center Santa Ana$22,5111.1×122026-06-15
Community Hospital Of Huntington Park Huntington Park$22,7391.1×122026-02-04
San Gorgonio Memorial Hospital Banning$22,9131.2×52026-05-20
Scripps Memorial Hospital - Encinitas Encinitas$23,3561.2×142026-03-30
Coast Plaza Hospital Norwalk$23,4411.2×132026-02-04
South Coast Global Medical Center Santa Ana$23,4621.2×112026-06-15
St Rose Hospital Hayward$23,5731.1×52026-02-23
Scripps Green Hospital La Jolla$23,8981.2×152026-03-30
Watsonville Community Hospital Watsonville$23,9441.1×162026-09-15
Chinese Hospital San Francisco$24,0621.1×42026-07-22
Memorial Hospital Of Gardena Gardena$24,2431.2×132026-02-04
Scripps Mercy Hospital San Diego$24,2811.2×152026-03-30
Community Regional Medical Center Fresno$24,4341.2×32026-06-18
Hemet Global Medical Center Hemet$25,5271.3×12026-06-15
Menifee Global Medical Center Sun City$25,5271.3×12026-05-20
East Los Angeles Doctors Hospital Los Angeles$25,7671.3×132026-02-04
Good Samaritan Hospital San Jose$25,9571.1×122026-09-01
San Dimas Community Hospital San Dimas$26,1041.3×72026-09-01
Sonoma Valley Hospital Sonoma$26,2681.3×122026-05-22
Sherman Oaks Hospital Sherman Oaks$26,4241.3×52026-09-01
Encino Hospital Medical Center Encino$27,4341.4×42026-09-01
La Palma Intercommunity Hospital La Palma$27,9081.4×42026-09-01
Usc Verdugo Hills Hospital Glendale$28,3221.4×112026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$28,3731.4×32026-03-29
Usc Arcadia Hospital Arcadia$28,6151.4×62026-07-27
Southern California Hospital At Hollywood Hollywood$28,8091.5×52026-03-18
Paradise Valley Hospital National City$29,0401.5×62026-09-01
Riverside Community Hospital Riverside$29,1111.5×112026-09-01
Los Angeles Community Hospital Los Angeles$29,5701.5×62026-03-18
Montclair Hospital Medical Center Montclair$29,5701.5×52026-09-01
Scripps Memorial Hospital La Jolla La Jolla$29,6481.5×152026-03-30
Centinela Hospital Medical Center Inglewood$29,7841.5×42026-09-01
Desert Valley Hospital Victorville$30,2901.5×72026-09-01
San Antonio Regional Hospital Upland$30,4541.5×132026-04-02
Tri-City Medical Center Oceanside$30,6521.6×42026-05-29
Saint Agnes Medical Center Fresno$31,1721.6×42026-03-31
Chino Valley Medical Center Chino$32,0541.6×72026-09-01
Providence Mission Hospital Mission Viejo$32,2641.6×62026-04-01
Foothill Regional Medical Center Tustin$32,4701.6×62026-03-18
Providence St. Joseph Hospital Orange$33,6381.7×72026-04-01
Palomar Health Downtown Campus Escondido$34,7571.8×32026-04-01
Providence St. Jude Medical Center Fullerton$34,9141.8×62026-04-01
San Joaquin General Hospital French Camp$34,9571.8×22026-04-01
St Mary's Medical Center San Francisco$35,1631.6×42026-04-01
Palomar Medical Center Poway Poway$35,2081.8×22026-04-01
Ronald Reagan Ucla Medical Center Los Angeles$35,3161.8×32026-03-29
Ucla West Valley Medical Center West Hills$35,3161.8×52026-03-29
Riverside University Health System-Medical Center Moreno Valley$35,3691.8×12026-03-30
Mission Community Hospital Panorama City$35,7111.8×72026-09-01
Hoag Memorial Hospital Presbyterian Newport Beach$36,2001.8×22026-04-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$36,4361.8×62026-04-01
Barstow Community Hospital Barstow$37,3061.9×22026-09-17
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$37,3301.9×62026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$37,3991.9×62026-04-01
Memorialcare Saddleback Medical Center Laguna Hills$38,5361.9×102026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$39,5202.0×52026-09-01
Shasta Regional Medical Center Redding$39,7152.0×42026-09-01
Fresno Surgical Hospital Fresno$39,9672.0×12026-06-16
Providence Saint Joseph Medical Ctr Burbank$40,0742.0×62026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$40,1122.0×102026-04-01
Saint John's Health Center Santa Monica$40,8672.1×52026-04-01
Providence Redwood Memorial Hospital Fortuna$41,2922.1×22026-04-01
Memorialcare Long Beach Medical Center Long Beach$42,2442.1×132026-04-01
Providence Holy Cross Medical Center Mission Hills$42,6552.2×52026-04-01
Cedars-Sinai Medical Center Los Angeles$44,6162.3×22025-11-26
Keck Hospital Of Usc Los Angeles$46,5892.4×232026-04-01
Providence St Mary Medical Center Apple Valley$48,0302.4×22026-04-01
Loma Linda University Medical Center Loma Linda$52,2062.6×42026-09-02
Providence Queen Of The Valley Medical Center Napa$55,7512.8×42026-04-01
Providence St Joseph Hospital Eureka$59,7483.0×32026-04-01
Uci Health-Lakewood Lakewood$61,8603.1×142026-04-01
Providence Santa Rosa Memorial Hospital Santa Rosa$63,6263.1×42026-04-01
Loma Linda University Children'S Hospital Loma Linda$64,2003.2×32026-09-02
Lac/Olive View-Ucla Medical Center Sylmar$73,5863.7×12026-03-12
Lac/Harbor-Ucla Med Center Torrance$77,9023.9×12026-03-12
Lac/Rancho Los Amigos National Rehabilitation Ctr Downey$113,5915.7×12026-03-12

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Northbay Medical Center Fairfield$18,4790.6×12026-04-01
College Medical Center Long Beach$22,7540.8×52026-07-01
Chapman Global Medical Center Orange$27,3571.0×92026-05-06
Oak Valley Hospital District Oakdale$28,5261.1×22026-07-17
Clovis Community Medical Center Clovis$29,1131.1×22026-06-15
Victor Valley Global Medical Center Victorville$30,0451.1×112026-05-13
Orange County Global Medical Center Santa Ana$30,1271.1×122026-06-15
Community Hospital Of Huntington Park Huntington Park$31,0451.2×122026-02-04
South Coast Global Medical Center Santa Ana$31,1781.2×112026-06-15
St Rose Hospital Hayward$31,6991.1×42026-02-23
San Gorgonio Memorial Hospital Banning$32,0741.2×52026-05-20
Coast Plaza Hospital Norwalk$32,2341.2×132026-02-04
Watsonville Community Hospital Watsonville$32,4531.1×162026-09-15
Scripps Mercy Hospital San Diego$32,5661.2×152026-03-30
Scripps Green Hospital La Jolla$32,5661.2×152026-03-30
Chinese Hospital San Francisco$32,6111.1×42026-07-22
Memorial Hospital Of Gardena Gardena$33,2681.2×132026-02-04
Hemet Global Medical Center Hemet$34,5971.3×12026-06-15
Menifee Global Medical Center Sun City$34,5971.3×12026-05-20
Scripps Memorial Hospital - Encinitas Encinitas$34,8821.3×142026-03-30
Good Samaritan Hospital San Jose$35,0151.1×122026-09-01
East Los Angeles Doctors Hospital Los Angeles$35,1631.3×132026-02-04
San Dimas Community Hospital San Dimas$35,2691.3×72026-09-01
Sonoma Valley Hospital Sonoma$35,6011.3×122026-05-22
Sherman Oaks Hospital Sherman Oaks$35,7181.3×52026-09-01
Encino Hospital Medical Center Encino$37,0641.4×42026-09-01
La Palma Intercommunity Hospital La Palma$37,6221.4×42026-09-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$38,4551.4×32026-03-29
Usc Verdugo Hills Hospital Glendale$38,7021.4×112026-04-01
Usc Arcadia Hospital Arcadia$38,7301.4×62026-07-27
Paradise Valley Hospital National City$38,8861.4×62026-09-01
Riverside Community Hospital Riverside$38,9821.4×112026-09-01
Southern California Hospital At Hollywood Hollywood$39,0461.5×52026-03-18
Montclair Hospital Medical Center Montclair$39,7641.5×52026-09-01
Los Angeles Community Hospital Los Angeles$40,0401.5×62026-03-18
Centinela Hospital Medical Center Inglewood$40,1811.5×42026-09-01
Scripps Memorial Hospital La Jolla La Jolla$40,1831.5×152026-03-30
Desert Valley Hospital Victorville$40,8981.5×72026-09-01
Tri-City Medical Center Oceanside$41,1231.5×42026-05-29
San Antonio Regional Hospital Upland$41,2751.5×132026-04-02
Saint Agnes Medical Center Fresno$42,1091.6×42026-03-31
Los Robles Hospital & Medical Center Thousand Oaks$42,4041.6×52026-09-01
Chino Valley Medical Center Chino$43,0361.6×72026-09-01
Community Regional Medical Center Fresno$43,5081.6×22026-06-18
Providence Mission Hospital Mission Viejo$43,7451.6×62026-04-01
Foothill Regional Medical Center Tustin$43,9541.6×62026-03-18
Cedars-Sinai Medical Center Los Angeles$44,6161.7×22025-11-26
Hoag Memorial Hospital Presbyterian Newport Beach$45,5861.7×22026-04-01
Providence St. Joseph Hospital Orange$46,0511.7×72026-04-01
Palomar Health Downtown Campus Escondido$46,5471.7×32026-04-01
Riverside University Health System-Medical Center Moreno Valley$46,5541.7×12026-03-30
Palomar Medical Center Poway Poway$47,3731.8×22026-04-01
San Joaquin General Hospital French Camp$47,3781.8×22026-04-01
Providence St. Jude Medical Center Fullerton$47,4581.8×62026-04-01
Ronald Reagan Ucla Medical Center Los Angeles$47,8641.8×32026-03-29
Ucla West Valley Medical Center West Hills$47,8641.8×52026-03-29
Mission Community Hospital Panorama City$48,4001.8×72026-09-01
St Mary's Medical Center San Francisco$48,6131.6×42026-04-01
Barstow Community Hospital Barstow$50,5621.9×22026-09-17
Providence Cedars Sinai Tarzana Medical Center Tarzana$50,6961.9×62026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$51,6091.9×62026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$51,7051.9×62026-04-01
Memorialcare Saddleback Medical Center Laguna Hills$52,7482.0×102026-04-01
Shasta Regional Medical Center Redding$53,7682.0×42026-09-01
Fresno Surgical Hospital Fresno$54,1692.0×12026-06-16
Providence Saint Joseph Medical Ctr Burbank$55,4032.1×62026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$55,4562.1×102026-04-01
Saint John's Health Center Santa Monica$57,1892.1×52026-04-01
Providence Redwood Memorial Hospital Fortuna$57,4242.1×22026-04-01
Memorialcare Long Beach Medical Center Long Beach$58,4032.2×132026-04-01
Providence Holy Cross Medical Center Mission Hills$58,9712.2×52026-04-01
Keck Hospital Of Usc Los Angeles$63,1442.4×232026-04-01
Providence St Mary Medical Center Apple Valley$67,1312.5×22026-04-01
Loma Linda University Medical Center Loma Linda$67,5602.5×42026-09-02
Providence Queen Of The Valley Medical Center Napa$77,5062.9×42026-04-01
Providence St Joseph Hospital Eureka$82,6033.1×32026-04-01
Uci Health-Lakewood Lakewood$83,2963.1×142026-04-01
Loma Linda University Children'S Hospital Loma Linda$87,0133.2×32026-09-02
Providence Santa Rosa Memorial Hospital Santa Rosa$87,9643.1×42026-04-01
Lac/Olive View-Ucla Medical Center Sylmar$93,0893.5×12026-03-12
Lac/Harbor-Ucla Med Center Torrance$101,2253.8×12026-03-12
Lac/Rancho Los Amigos National Rehabilitation Ctr Downey$129,0764.8×12026-03-12

Questions

How much do insurers pay for hip fracture replacement in California?

88 California hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 43 hospitals is $12,133, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.