What Medicare pays California hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
California has no certificate-of-need law.
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| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Palomar Medical Center Poway | Poway | $11,129 | $104,858 | $11,347 |
| Usc Arcadia Hospital | Arcadia | $15,910 | $111,398 | $15,876 |
| Palomar Health Downtown Campus | Escondido | $16,513 | $108,981 | $9,770 |
| Docs Surgical Hospital | Los Angeles | $17,383 | $115,341 | $16,148 |
| Hoag Orthopedic Institute | Irvine | $17,493 | $85,751 | $15,979 |
| Fresno Surgical Hospital | Fresno | $17,513 | $51,937 | $15,992 |
| Casa Colina Hospital | Pomona | $17,619 | $73,137 | $16,148 |
| Uci Health-Los Alamitos | Los Alamitos | $17,632 | $217,971 | $15,971 |
| Adventist Health Simi Valley | Simi Valley | $17,737 | $129,283 | $15,997 |
| French Hospital Medical Center | San Luis Obispo | $17,925 | $105,063 | $16,045 |
| Hospital | City | Inpatient paid | List price | Outpatient |
|---|---|---|---|---|
| Lac/Harbor-Ucla Med Center | Torrance | $37,686 | $58,888 | — |
| Zuckerberg San Francisco General Hosp & Trauma Ctr | San Francisco | $33,951 | $156,918 | — |
| Ucsf Medical Center | San Francisco | $32,373 | $149,465 | $18,418 |
| Stanford Health Care | Stanford | $30,883 | $250,769 | $18,461 |
| Sutter Solano Medical Center | Vallejo | $30,014 | $109,459 | — |
| Uci Health-Orange | Orange | $29,813 | $115,370 | $15,688 |
| Loma Linda University Medical Center | Loma Linda | $29,131 | $164,082 | $16,148 |
| Santa Clara Valley Medical Center | San Jose | $28,442 | $91,504 | $18,490 |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego | $28,202 | $122,076 | $16,094 |
| Sutter Medical Center, Sacramento | Sacramento | $27,192 | $106,114 | $18,187 |
In 2024 Medicare paid California hospitals a median $20,302 per inpatient hip or knee replacement stay (MS-DRG 470, 119 hospitals) and a median $16,148 per outpatient case. An orthopedic surgery center is paid about $10,558 for a knee.
Palomar Medical Center Poway ($11,129), Usc Arcadia Hospital ($15,910), Palomar Health Downtown Campus ($16,513).
The median list (chargemaster) price is $121,434, about 6.0× what Medicare pays.
California has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 1987.