Revision of Hip or Knee Replacement with Mcc in California
MS-DRG 466: Revision of hip or knee replacement with mcc
$456,921typical hospital bill
$78,592typical amount paid
$64,999–$89,353range paid across 4 hospitals
California hospitals billed Medicare a typical $456,921 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 | |
|---|---|---|---|---|---|
| John Muir Medical Center - Walnut Creek Campus | Walnut Creek | 13 | $541,748 | $64,999 | |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Santa Monica | 19 | $320,893 | $74,865 | |
| Ucsf Medical Center | San Francisco | 18 | $372,095 | $82,319 | |
| Cedars-Sinai Medical Center | Los Angeles | 26 | $788,413 | $89,353 |
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.