Revision of hip or knee replacement with complications in California
What 39 hospitals in California charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$249,115
Hospital list price billed
Average payment
$40,553
Medicare + patient + other payers
Medicare paid
$36,674
Average per stay
State rank
#40 of 41
1 = lowest average payment
Hospitals in California billed an average of $249,115 for revision of hip or knee replacement with complications, about 6.1 times the average total payment of $40,553. That payment is 32% above the U.S. average of $30,673.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $40,553Billed $249,115
About 16¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in California:
California hospitals: revision of hip or knee replacement with complications
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| UCSF Medical CenterSan Francisco | 86 | $242,084 | $56,431 | $50,763 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 82 | $201,117 | $42,336 | $38,761 |
| Stanford HospitalPalo Alto | 70 | $367,743 | $53,915 | $48,555 |
| Cedars-Sinai Medical CenterLos Angeles | 70 | $444,126 | $41,016 | $37,534 |
| University of California Davis Medical CenterSacramento | 40 | $355,944 | $50,364 | $45,922 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 37 | $358,240 | $41,457 | $36,008 |
| USC University HospitalLos Angeles | 36 | $260,159 | $44,660 | $37,626 |
| Washington HospitalFremont | 35 | $202,388 | $31,502 | $29,947 |
| Goleta Valley Cottage HospitalSanta Barbara | 34 | $158,568 | $28,371 | $27,077 |
| Memorial Medical CenterModesto | 33 | $163,735 | $33,664 | $32,773 |
| Saint John's Health CenterSanta Monica | 29 | $124,214 | $31,775 | $27,732 |
| University of California San Diego Medical CenterSan Diego | 26 | $222,706 | $46,838 | $39,630 |
| Torrance Memorial Medical CenterTorrance | 25 | $162,331 | $32,644 | $31,404 |
| Hoag Orthopedic InstituteIrvine | 24 | $180,851 | $35,571 | $26,987 |
| Rideout Memorial HospitalMarysville | 21 | $191,650 | $40,072 | $34,830 |
| Eisenhower Memorial HospitalRancho Mirage | 21 | $179,248 | $33,498 | $31,379 |
| Los Robles Hospital & Medical CenterThousand Oaks | 20 | $405,377 | $32,814 | $31,462 |
| Sutter Medical Center of Santa RosaSanta Rosa | 19 | $157,067 | $40,573 | $38,423 |
| Scripps Green HospitalLa Jolla | 19 | $308,218 | $42,247 | $38,726 |
| El Camino HospitalMountain View | 18 | $241,898 | $37,894 | $36,424 |
| Enloe Medical CenterChico | 17 | $198,588 | $30,948 | $29,604 |
| USC Arcadia HospitalArcadia | 17 | $204,535 | $29,576 | $27,942 |
| Mercy Medical Center ReddingRedding | 15 | $151,058 | $32,796 | $31,612 |
| Mission Hospital Regional Med CenterMission Viejo | 15 | $160,741 | $30,741 | $29,435 |
| Community Hospital of the Monterey PeninsulaMonterey | 14 | $238,096 | $38,157 | $36,874 |
| Scripps Mercy HospitalSan Diego | 13 | $271,547 | $37,006 | $35,368 |
| Saint Agnes Medical CenterFresno | 13 | $133,510 | $38,583 | $37,170 |
| Providence Saint Joseph Medical CtrBurbank | 13 | $165,248 | $33,872 | $32,280 |
| Scripps Memorial Hospital - EncinitasEncinitas | 13 | $258,778 | $32,497 | $31,223 |
| St Joseph HospitalOrange | 12 | $133,290 | $41,306 | $27,331 |
| Marian Medical CenterSanta Maria | 12 | $207,100 | $36,202 | $34,696 |
| Scripps Memorial Hospital la JollaLa Jolla | 12 | $251,094 | $33,253 | $32,029 |
| Community Memorial Hospital - VenturaVentura | 12 | $168,941 | $39,364 | $37,496 |
| West Hills Hospital & Medical CenterWest Hills | 12 | $391,599 | $32,416 | $31,056 |
| Fresno Surgical HospitalFresno | 12 | $81,776 | $28,933 | $26,675 |
| Hollywood Presbyterian Medical CenterLos Angeles | 11 | $123,854 | $35,612 | $34,402 |
| Huntington Memorial HospitalPasadena | 11 | $178,030 | $33,853 | $32,356 |
| Doctors Medical CenterModesto | 11 | $451,884 | $42,481 | $27,800 |
| Long Beach Memorial Medical CenterLong Beach | 11 | $215,858 | $44,317 | $27,322 |
Lowest and highest payments in California
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Goleta Valley Cottage HospitalSanta Barbara, CA | $28,371 |
|---|---|
| Fresno Surgical HospitalFresno, CA | $28,933 |
| USC Arcadia HospitalArcadia, CA | $29,576 |
| Mission Hospital Regional Med CenterMission Viejo, CA | $30,741 |
| Enloe Medical CenterChico, CA | $30,948 |
Highest
| UCSF Medical CenterSan Francisco, CA | $56,431 |
|---|---|
| Stanford HospitalPalo Alto, CA | $53,915 |
| University of California Davis Medical CenterSacramento, CA | $50,364 |
| University of California San Diego Medical CenterSan Diego, CA | $46,838 |
| USC University HospitalLos Angeles, CA | $44,660 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in California?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 39 hospitals in California was billed at $249,115 on average, while the average total payment was $40,553, of which Medicare paid $36,674. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in California, average charges were 6.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.