Revision of hip or knee replacement without complications in California
What 25 hospitals in California charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$176,987
Hospital list price billed
Average payment
$30,343
Medicare + patient + other payers
Medicare paid
$26,947
Average per stay
State rank
#39 of 42
1 = lowest average payment
Hospitals in California billed an average of $176,987 for revision of hip or knee replacement without complications, about 5.8 times the average total payment of $30,343. That payment is 27% above the U.S. average of $23,925.
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 $30,343Billed $176,987
About 17¢ 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 without 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 |
|---|---|---|---|---|
| Washington HospitalFremont | 46 | $160,723 | $29,884 | $28,385 |
| Hoag Orthopedic InstituteIrvine | 43 | $144,051 | $25,325 | $20,973 |
| Fresno Surgical HospitalFresno | 41 | $78,821 | $24,038 | $21,789 |
| Cedars-Sinai Medical CenterLos Angeles | 39 | $325,340 | $31,786 | $29,481 |
| UCSF Medical CenterSan Francisco | 31 | $187,103 | $45,229 | $36,694 |
| Eisenhower Memorial HospitalRancho Mirage | 24 | $97,399 | $29,078 | $25,134 |
| Scripps Green HospitalLa Jolla | 23 | $177,596 | $30,283 | $27,538 |
| Los Robles Hospital & Medical CenterThousand Oaks | 22 | $292,249 | $27,912 | $24,258 |
| Stanford HospitalPalo Alto | 21 | $286,050 | $40,727 | $37,836 |
| Redlands Community HospitalRedlands | 19 | $147,580 | $26,608 | $22,993 |
| El Camino HospitalMountain View | 18 | $208,966 | $29,250 | $27,701 |
| Memorial Medical CenterModesto | 18 | $142,727 | $29,400 | $23,150 |
| Saint John's Health CenterSanta Monica | 16 | $98,189 | $25,334 | $23,751 |
| Lodi Memorial HospitalLodi | 16 | $114,716 | $26,679 | $23,856 |
| Community Memorial Hospital - VenturaVentura | 16 | $161,154 | $29,911 | $28,235 |
| Bakersfield Memorial HospitalBakersfield | 14 | $142,248 | $26,889 | $25,372 |
| Mercy Medical Center ReddingRedding | 14 | $118,043 | $27,038 | $25,356 |
| University of California Davis Medical CenterSacramento | 14 | $237,638 | $39,428 | $31,064 |
| USC University HospitalLos Angeles | 14 | $200,790 | $34,483 | $30,380 |
| Sutter General HospitalSacramento | 13 | $150,554 | $31,158 | $29,520 |
| West Hills Hospital & Medical CenterWest Hills | 13 | $367,084 | $25,890 | $22,635 |
| Rideout Memorial HospitalMarysville | 12 | $162,211 | $28,537 | $27,041 |
| University of California San Diego Medical CenterSan Diego | 11 | $153,552 | $33,590 | $30,206 |
| Sutter Medical Center of Santa RosaSanta Rosa | 11 | $103,145 | $37,958 | $28,683 |
| Providence Tarzana Medical CenterTarzana | 11 | $133,239 | $26,445 | $24,850 |
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
| Fresno Surgical HospitalFresno, CA | $24,038 |
|---|---|
| Hoag Orthopedic InstituteIrvine, CA | $25,325 |
| Saint John's Health CenterSanta Monica, CA | $25,334 |
| West Hills Hospital & Medical CenterWest Hills, CA | $25,890 |
| Providence Tarzana Medical CenterTarzana, CA | $26,445 |
Highest
| UCSF Medical CenterSan Francisco, CA | $45,229 |
|---|---|
| Stanford HospitalPalo Alto, CA | $40,727 |
| University of California Davis Medical CenterSacramento, CA | $39,428 |
| Sutter Medical Center of Santa RosaSanta Rosa, CA | $37,958 |
| USC University HospitalLos Angeles, CA | $34,483 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in California?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 25 hospitals in California was billed at $176,987 on average, while the average total payment was $30,343, of which Medicare paid $26,947. 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 5.8 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.