Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in California

MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota

$187,664typical hospital bill

$32,547typical amount paid

$25,690–$58,311range paid across 9 hospitals

California hospitals billed Medicare a typical $187,664 for this stay in 2024, about 5.8 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)

Hospital	City	Medicare stays	Billed	Paid
Hoag Orthopedic Institute	Irvine	15	$107,989	$25,690
Saint John's Health Center	Santa Monica	11	$102,782	$29,171
Shasta Regional Medical Center	Redding	11	$223,940	$31,639
Scripps Green Hospital	La Jolla	13	$184,491	$32,155
Stanford Health Care Tri-Valley	Pleasanton	11	$187,664	$32,547
Cedars-Sinai Medical Center	Los Angeles	18	$436,910	$41,977
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa Monica	16	$165,719	$46,735
Ucsf Medical Center	San Francisco	28	$231,593	$56,776
Stanford Health Care	Stanford	32	$444,924	$58,311

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.