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Knee replacement in California: what insurers pay

Posted commercial rates at 28 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27447

HospitalMedian across insurers× MedicareInsurersFile date
Stanford Health Care Tri-Valley Pleasanton$11,9700.7×22026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$13,8900.8×32026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$13,9160.8×32026-04-01
Providence Mission Hospital Mission Viejo$14,2080.9×52026-04-01
Providence St. Joseph Hospital Orange$14,5200.9×52026-04-01
Providence St. Jude Medical Center Fullerton$14,5200.9×52026-04-01
Usc Verdugo Hills Hospital Glendale$15,8901.0×22026-04-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$15,9761.0×22026-04-01
Providence Saint Joseph Medical Ctr Burbank$16,1031.0×22026-04-01
Providence Holy Cross Medical Center Mission Hills$17,2501.0×22026-04-01
St Mary's Medical Center San Francisco$17,5340.9×42026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$18,9011.1×12026-03-29
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego$20,2981.2×42026-04-01
Tri-City Medical Center Oceanside$21,3021.3×22026-05-29
Hoag Memorial Hospital Presbyterian Newport Beach$22,2071.3×32026-04-01
Ucla West Valley Medical Center West Hills$23,5331.4×12026-03-29
Keck Hospital Of Usc Los Angeles$23,8141.4×42026-04-01
Good Samaritan Hospital San Jose$28,9501.5×42026-09-01
Los Robles Hospital & Medical Center Thousand Oaks$31,6241.9×42026-09-01
Memorialcare Long Beach Medical Center Long Beach$31,8621.9×32026-04-01
Cedars-Sinai Medical Center Los Angeles$32,9482.0×32025-11-26
Memorialcare Orange Coast Medical Center Fountain Valley$34,5432.1×22026-04-01
Stanford Health Care Stanford$46,9702.5×42026-04-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Usc Arcadia Hospital Arcadia$25,5391.4×42026-07-27
Usc Verdugo Hills Hospital Glendale$25,7971.4×52026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$25,8441.4×12026-03-29
Scripps Green Hospital La Jolla$27,6011.5×62026-03-30
Scripps Mercy Hospital San Diego$27,6011.5×62026-03-30
Scripps Memorial Hospital La Jolla La Jolla$27,6011.5×62026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$27,6011.5×62026-03-30
St Mary's Medical Center San Francisco$28,3551.4×32026-04-01
Providence St. Jude Medical Center Fullerton$28,8321.6×52026-04-01
Providence Mission Hospital Mission Viejo$28,8391.6×52026-04-01
Tri-City Medical Center Oceanside$30,5821.7×22026-05-29
Providence Cedars Sinai Tarzana Medical Center Tarzana$31,4411.7×62026-04-01
Providence Holy Cross Medical Center Mission Hills$33,1111.8×62026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$33,3871.9×62026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$33,4491.9×62026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$33,6081.9×22026-04-01
Good Samaritan Hospital San Jose$33,6351.6×52026-09-01
Providence St. Joseph Hospital Orange$33,6381.9×52026-04-01
Providence Saint Joseph Medical Ctr Burbank$34,4541.9×62026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$35,6582.0×52026-04-01
Ucla West Valley Medical Center West Hills$37,6222.1×32026-03-29
Memorialcare Long Beach Medical Center Long Beach$37,7822.1×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$38,4932.1×52026-09-01
Cedars-Sinai Medical Center Los Angeles$44,6162.5×42025-11-26
Keck Hospital Of Usc Los Angeles$59,0443.3×72026-04-01
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego$106,5875.9×52026-04-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Good Samaritan Hospital San Jose$34,2881.1×52026-09-01
Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego$38,0401.3×72026-04-01
Usc Arcadia Hospital Arcadia$40,1601.4×42026-07-27
Usc Verdugo Hills Hospital Glendale$40,5661.4×52026-04-01
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica$40,6381.4×12026-03-29
Providence St. Joseph Hospital Orange$42,1061.5×52026-04-01
Providence St. Jude Medical Center Fullerton$42,1061.5×52026-04-01
Providence Mission Hospital Mission Viejo$42,1061.5×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$43,2911.5×52026-09-01
Scripps Green Hospital La Jolla$43,4021.5×62026-03-30
Scripps Mercy Hospital San Diego$43,4021.5×62026-03-30
Scripps Memorial Hospital La Jolla La Jolla$43,4021.5×62026-03-30
Scripps Memorial Hospital - Encinitas Encinitas$43,4021.5×62026-03-30
Tri-City Medical Center Oceanside$47,3491.7×22026-05-29
St Mary's Medical Center San Francisco$47,6291.5×32026-04-01
Hoag Memorial Hospital Presbyterian Newport Beach$49,7051.8×22026-04-01
Providence Cedars Sinai Tarzana Medical Center Tarzana$51,0441.8×62026-04-01
Cedars-Sinai Medical Center Los Angeles$52,0661.8×42025-11-26
Providence Holy Cross Medical Center Mission Hills$53,7551.9×52026-04-01
Providence Little Company Of Mary Med Ctr Torrance Torrance$54,5621.9×62026-04-01
Providence Little Co Of Mary Med Ctr San Pedro San Pedro$57,8752.0×62026-04-01
Ucla West Valley Medical Center West Hills$59,1602.1×32026-03-29
Providence Saint Joseph Medical Ctr Burbank$59,7252.1×62026-04-01
Memorialcare Orange Coast Medical Center Fountain Valley$61,8142.2×52026-04-01
Memorialcare Long Beach Medical Center Long Beach$65,4942.3×52026-04-01
Keck Hospital Of Usc Los Angeles$92,8463.3×72026-04-01

Questions

How much do insurers pay for knee replacement in California?

28 California hospitals post usable commercial rates for knee replacement in their federal price-transparency files. For CPT 27447, hospital outpatient, the median across 23 hospitals is $18,901, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.