US Health Care Costs

Hip or knee replacement in California

MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc

$121,434typical hospital bill
$20,302typical amount paid
$11,129–$37,686range paid across 119 hospitals

California hospitals billed Medicare a typical $121,434 for this stay in 2024, about 6.0 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Palomar Medical Center PowayPoway16$104,859$11,129
Usc Arcadia HospitalArcadia81$111,398$15,910
Palomar Health Downtown CampusEscondido12$108,981$16,513
Docs Surgical HospitalLos Angeles40$115,341$17,383
Hoag Orthopedic InstituteIrvine303$85,751$17,493
Fresno Surgical HospitalFresno53$51,937$17,513
Casa Colina HospitalPomona17$73,137$17,619
Uci Health - Los AlamitosLos Alamitos13$217,971$17,632
Adventist Health Simi ValleySimi Valley37$129,283$17,737
French Hospital Medical CenterSan Luis Obispo20$105,063$17,925
Enloe HealthChico25$127,170$18,025
Uci Health-LakewoodLakewood17$177,514$18,049
Shasta Regional Medical CenterRedding46$165,738$18,072
Saint John's Health CenterSanta Monica505$77,201$18,077
Adventist Health Twin CitiesTempleton13$216,223$18,100
Tri-City Medical CenterOceanside14$107,799$18,145
San Dimas Community HospitalSan Dimas18$125,630$18,171
Chapman Global Medical CenterOrange25$96,808$18,180
Torrance Memorial Medical CenterTorrance262$123,345$18,249
Providence Mission HospitalMission Viejo20$115,641$18,347
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey15$116,401$18,383
Goleta Valley Cottage HospitalSanta Barbara105$97,559$18,419
Scripps Memorial Hospital - EncinitasEncinitas65$162,843$18,476
Clovis Community Medical CenterClovis24$102,192$18,514
Oroville HospitalOroville79$55,738$18,520
Scripps Memorial Hospital La JollaLa Jolla63$160,384$18,571
Foothill Regional Medical CenterTustin11$132,668$18,589
Redlands Community HospitalRedlands18$109,642$18,591
St Johns Regional Medical CenterOxnard28$121,434$18,750
Mercy Hospital of FolsomFolsom24$163,569$18,757
Desert Valley HospitalVictorville22$99,740$18,945
San Gabriel Valley Medical CenterSan Gabriel22$111,041$19,039
Providence Little Company of Mary Med Ctr TorranceTorrance40$117,575$19,096
Marshall Medical CenterPlacerville23$190,148$19,104
Providence Saint Joseph Medical CtrBurbank42$102,542$19,161
Victor Valley Global Medical CenterVictorville27$77,678$19,274
Providence Cedars Sinai Tarzana Medical CenterTarzana45$120,474$19,324
Palmdale Regional Medical CenterPalmdale14$239,759$19,391
Emanuel Medical CenterTurlock19$308,507$19,438
Grossmont HospitalLa Mesa32$174,611$19,448
Memorialcare Orange Coast Medical CenterFountain Valley29$97,139$19,483
Huntington HospitalPasadena84$103,587$19,490
Sutter Surgical Hospital - North ValleyYuba City25$96,495$19,506
Uci Health - Fountain ValleyFountain Valley35$246,397$19,593
Sharp Chula Vista Medical CenterChula Vista16$160,231$19,626
Santa Barbara Cottage HospitalSanta Barbara100$110,477$19,672
Whittier Hospital Medical CenterWhittier12$100,665$19,738
Providence Holy Cross Medical CenterMission Hills11$102,702$19,811
Mercy General HospitalSacramento45$157,297$19,901
San Ramon Regional Medical CenterSan Ramon20$202,371$19,941
Los Robles Hospital & Medical CenterThousand Oaks104$281,248$19,960
Marian Regional Medical CenterSanta Maria67$116,377$20,015
Petaluma Valley HospitalPetaluma12$160,560$20,040
Mercy San Juan Medical CenterCarmichael23$147,072$20,087
Adventist Health St HelenaSaint Helena16$234,889$20,123
Northridge Hospital Medical CenterNorthridge57$138,346$20,129
Southern California Hospital at HollywoodHollywood11$105,952$20,197
Lompoc Valley Medical CenterLompoc23$64,811$20,219
Providence St. Jude Medical CenterFullerton13$68,610$20,222
Sharp Coronado Hospital and Hlthcr CtrCoronado19$124,494$20,302
Hollywood Presbyterian Medical CenterLos Angeles69$102,107$20,381
Memorialcare Long Beach Medical CenterLong Beach14$115,198$20,393
Glendale Mem Hospital & Hlth CenterGlendale16$125,500$20,461
Mission Community HospitalPanorama City17$159,827$20,571
Emanate Health Inter-Community HospitalCovina52$66,300$20,576
Glendale Adventist Medical CenterGlendale44$154,342$20,587
Sequoia HospitalRedwood City153$166,386$20,602
Southwest Healthcare Rancho Springs HospitalMurrieta11$111,685$20,641
Mercy Medical Center ReddingRedding36$96,300$20,687
Ucla West Valley Medical CenterWest Hills55$292,338$20,759
Valley Presbyterian HospitalVan Nuys21$71,157$20,822
Good Samaritan HospitalSan Jose52$327,882$20,833
Saint Agnes Medical CenterFresno27$89,111$20,853
Adventist Health White MemorialLos Angeles17$144,156$20,884
Eisenhower Medical CenterRancho Mirage146$87,547$20,904
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz13$101,369$21,089
Stanford Health Care Tri-ValleyPleasanton24$143,012$21,114
Pih Health Good Samaritan HospitalLos Angeles26$133,895$21,180
El Camino HealthMountain View49$210,855$21,274
Washington HospitalFremont60$171,834$21,283
Community Memorial Hospital - VenturaVentura63$90,741$21,283
Marinhealth Medical CenterGreenbrae39$218,901$21,353
Sharp Memorial HospitalSan Diego20$161,376$21,420
Eden Medical CenterCastro Valley16$112,224$21,435
Memorial Medical CenterModesto73$107,187$21,468
John Muir Medical Center - Walnut Creek CampusWalnut Creek244$200,134$21,619
Scripps Green HospitalLa Jolla475$125,805$21,624
Providence Santa Rosa Memorial HospitalSanta Rosa39$209,684$21,710
Scripps Mercy HospitalSan Diego85$165,226$21,958
Ventura County Medical CenterVentura33$93,453$22,004
St Rose HospitalHayward57$127,793$22,197
Novato Community HospitalNovato30$100,873$22,350
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalSanta Monica82$116,741$22,698
Community Hospital of the Monterey PeninsulaMonterey60$129,394$23,550
Riverside Community HospitalRiverside20$228,991$23,816
Providence St. Joseph HospitalOrange25$85,475$23,965
Sutter Santa Rosa Regional HospitalSanta Rosa79$107,000$24,005
Alta Bates Summit Medical Center - Alta Bates CampBerkeley56$104,430$24,276
Cedars-Sinai Medical CenterLos Angeles212$285,219$24,562
Peninsula Medical CenterBurlingame49$108,909$24,669
Riverside University Health System-Medical CenterMoreno Valley22$97,672$24,747
John Muir Medical Center - Concord CampusConcord104$165,833$24,799
Alta Bates Summit Medical CenterOakland68$128,716$25,441
Regional Medical Center of San JoseSan Jose14$383,606$25,484
Keck Hospital of UscLos Angeles91$142,037$26,231
University of California Davis Medical CenterSacramento96$188,254$26,314
Ucsf Health St. Mary's HospitalSan Francisco46$132,780$26,469
California Pacific Medical Center - Mission BernalSan Francisco107$97,491$26,622
Ucsf Health Saint Francis HospitalSan Francisco14$149,640$26,934
Sutter Medical Center, SacramentoSacramento52$106,114$27,192
Uc San Diego Health Hillcrest - Hillcrest Med CtrSan Diego52$122,076$28,202
Santa Clara Valley Medical CenterSan Jose18$91,504$28,442
Loma Linda University Medical CenterLoma Linda23$164,082$29,131
Uci Health-OrangeOrange73$115,370$29,813
Sutter Solano Medical CenterVallejo68$109,459$30,014
Stanford Health CareStanford191$250,769$30,883
Ucsf Medical CenterSan Francisco157$149,465$32,373
Zuckerberg San Francisco General Hosp & Trauma CtrSan Francisco28$156,918$33,951
Lac/Harbor-Ucla Med CenterTorrance15$58,888$37,686

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.