Updated April 2026

Major Hip and Knee Joint Replacement in California

233 California hospitals report Medicare totals for this DRG, averaging $32,887 (well above the $24,455 national mean), with a 4× spread from $15,145 to $55,711. 2 carry an A grade, 15 carry an F.

The Orthopedic procedure Major Hip and Knee Joint Replacement carries DRG code 470 in the CMS classification system. 3,348 hospitals in California report payment data, averaging $24,455 per procedure — median $23,685, ranging from $7,200 to $58,650. The $7,200-to-$58,650 payment range is wide: the same DRG code can attract very different reimbursements across hospitals, reflecting differences in cost structure, patient complexity within the DRG, and regional pricing dynamics. The Medicare DRG system bundles cases by diagnosis-and-procedure groupings, so payment differences within a single DRG mostly track hospital-specific factors rather than case-mix.

Within California, the 3,348 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($24,455) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Major Hip and Knee Joint Replacement, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Musculoskeletal DRGs include hip and knee replacement, spine fusion, fracture repair, and major joint revision. Implant cost, length of stay, and rehab intensity drive most of the price variation across hospitals — DRGs 469/470 (joint replacement) are among the most-watched price benchmarks in Medicare.

Major Hip and Knee Joint Replacement is Medicare DRG 470 in the Orthopedic category. National Medicare average for this DRG is $24,455 across 3,348 reporting hospitals. The state-level view here filters that universe down to California only.

Cost Picture in California

California's average for this DRG sits well above the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 4× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in California Reporting Major Hip and Knee Joint Replacement

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#	Hospital	City	Payment	Quality	Grade
1	Hazel Hawkins Memorial Hospital Hollister	Hollister	$15,145	Not Rated	D
2	Redlands Community Hospital Redlands	Redlands	$16,133	★★★☆☆	C
3	Plumas District Hospital Quincy	Quincy	$16,460	Not Rated	C
4	Nh Twentynine Palms Twentynine Palms	Twentynine Palms	$17,931	Not Rated	C
5	Glendale Adventist Medical Center Glendale	Glendale	$18,326	★★★★☆	C
6	Kaiser Foundation Hospital - Fremont Fremont	Fremont	$18,650	★★★★☆	B
7	Adventist Health Mendocino Coast Fort Bragg	Fort Bragg	$18,988	★☆☆☆☆	D
8	Va Long Beach Healthcare System Long Beach	Long Beach	$19,256	★★★☆☆	C
9	Va N California Healthcare System Mather	Mather	$19,644	★★★★☆	C
10	San Joaquin General Hospital French Camp	French Camp	$19,805	★★☆☆☆	C
11	Pih Health Hospital-Whittier Whittier	Whittier	$20,069	★★★☆☆	C
12	Petaluma Valley Hospital Petaluma	Petaluma	$20,504	★★★★☆	D
13	Resnick Neuropsychiatric Hospital At Ucla Los Angeles	Los Angeles	$21,067	Not Rated	C
14	Goleta Valley Cottage Hospital Santa Barbara	Santa Barbara	$21,095	★★★★★	B
15	El Centro Regional Medical Center El Centro	El Centro	$21,252	★☆☆☆☆	D
16	Stanford Health Care Tri-Valley Pleasanton	Pleasanton	$21,436	★★★★☆	C
17	Chinese Hospital San Francisco	San Francisco	$21,483	★★★☆☆	C
18	San Mateo Medical Center San Mateo	San Mateo	$21,644	Not Rated	D
19	Mammoth Hospital Mammoth Lakes	Mammoth Lakes	$21,889	Not Rated	D
20	Adventist Health And Rideout Marysville	Marysville	$22,221	★★☆☆☆	D
21	San Gorgonio Memorial Hospital Banning	Banning	$22,319	★★★★★	B
22	Seneca District Hospital Chester	Chester	$22,698	Not Rated	D
23	Kaiser Foundation Hospital - Baldwin Park Baldwin Park	Baldwin Park	$22,733	★★☆☆☆	D
24	Eden Medical Center Castro Valley	Castro Valley	$22,867	★★★★☆	B
25	Coalinga Regional Medical Center Coalinga	Coalinga	$23,031	Not Rated	D
26	Kern Valley Healthcare District Lake Isabella	Lake Isabella	$23,459	Not Rated	C
27	Dominican Hospital Santa Cruz	Santa Cruz	$23,557	★★★★★	B
28	Lac/Olive View-Ucla Medical Center Sylmar	Sylmar	$23,633	★★☆☆☆	D
29	Kaiser Foundation Hospital - San Marcos San Marcos	San Marcos	$23,679	Not Rated	D
30	Ucsf Langley Porter Psychiatric Hospital And Clinics San Francisco	San Francisco	$23,792	Not Rated	C
31	Saint John's Health Center Santa Monica	Santa Monica	$23,872	★★★★☆	B
32	Providence Cedars Sinai Tarzana Medical Center Tarzana	Tarzana	$24,195	★★★☆☆	D
33	Kaiser Foundation Hospital San Rafael	San Rafael	$24,317	★★★★☆	C
34	Kaiser Foundation Hospital Fontana/Ontario Fontana	Fontana	$24,484	★★★☆☆	C
35	Children's Hospital At Mission Mission Viejo	Mission Viejo	$24,537	Not Rated	C
36	Kern Medical Center Bakersfield	Bakersfield	$25,046	★★☆☆☆	D
37	Antelope Valley Hospital Lancaster	Lancaster	$25,568	★☆☆☆☆	D
38	Doctors Medical Center Modesto	Modesto	$25,584	★☆☆☆☆	F
39	Natividad Medical Center Salinas	Salinas	$25,651	★★★☆☆	C
40	Kaiser Foundation Hospital - Sacramento Sacramento	Sacramento	$25,823	★★★☆☆	C
41	Mercy Medical Center Redding Redding	Redding	$25,868	★★☆☆☆	D
42	Mountains Community Hospital Lake Arrowhead	Lake Arrowhead	$25,991	Not Rated	C
43	Weed Ach (ft Irwin) Fort Irwin	Fort Irwin	$26,086	Not Rated	D
44	Providence Little Company Of Mary Med Ctr Torrance Torrance	Torrance	$26,360	★★★★☆	C
45	Temecula Valley Hospital Temecula	Temecula	$26,618	★★★☆☆	C
46	Victor Valley Global Medical Center Victorville	Victorville	$26,703	★☆☆☆☆	D
47	Providence St Mary Medical Center Apple Valley	Apple Valley	$26,739	★☆☆☆☆	F
48	Alameda Hospital Alameda	Alameda	$26,829	★★★☆☆	C
49	Adventist Health Reedley Reedley	Reedley	$26,833	Not Rated	D
50	Southern Inyo Hospital Lone Pine	Lone Pine	$26,979	Not Rated	C
51	Fresno Surgical Hospital Fresno	Fresno	$27,045	Not Rated	D
52	Cedars-Sinai Medical Center Los Angeles	Los Angeles	$27,167	★★★★★	B
53	Emanate Health Inter-Community Hospital Covina	Covina	$27,259	★☆☆☆☆	F
54	Sutter Coast Hospital Crescent City	Crescent City	$27,506	★★☆☆☆	D
55	Ucsf Medical Center San Francisco	San Francisco	$27,544	★★★★★	A
56	Loma Linda University Medical Center-Murrieta Murrieta	Murrieta	$27,721	★★☆☆☆	D
57	Kaiser Foundation Hosp So Sacramento Sacramento	Sacramento	$27,868	★★★☆☆	D
58	Providence Santa Rosa Memorial Hospital Santa Rosa	Santa Rosa	$27,927	★★☆☆☆	D
59	Saint Agnes Medical Center Fresno	Fresno	$27,955	★★☆☆☆	D
60	Loma Linda University Medical Center Loma Linda	Loma Linda	$27,965	★★★☆☆	C
61	St Mary Medical Center Long Beach	Long Beach	$27,983	★★★★☆	C
62	Sierra View Medical Center Porterville	Porterville	$28,100	★★☆☆☆	F
63	College Medical Center Long Beach	Long Beach	$28,148	★★☆☆☆	F
64	San Antonio Regional Hospital Upland	Upland	$28,336	★★★☆☆	C
65	Mercy Hospital Bakersfield	Bakersfield	$28,350	★★★☆☆	C
66	Kaiser Foundation Hospital-Moreno Valley Moreno Valley	Moreno Valley	$28,468	★★★★☆	C
67	Riverside University Health System-Medical Center Moreno Valley	Moreno Valley	$28,486	★★★☆☆	C
68	Kaiser Foundation Hospital - Woodland Hills Woodland Hills	Woodland Hills	$28,607	★★★☆☆	D
69	Community Hospital Of The Monterey Peninsula Monterey	Monterey	$28,631	★★★☆☆	C
70	Providence Mission Hospital Mission Viejo	Mission Viejo	$28,663	★★★★☆	C
71	Eisenhower Medical Center Rancho Mirage	Rancho Mirage	$28,703	★★★★☆	C
72	Adventist Health Bakersfield Bakersfield	Bakersfield	$28,787	★☆☆☆☆	F
73	Huntington Beach Hospital Huntington Beach	Huntington Beach	$28,817	Not Rated	D
74	Providence St Joseph Hospital Eureka	Eureka	$28,956	★★★☆☆	C
75	Chino Valley Medical Center Chino	Chino	$28,989	★★☆☆☆	D
76	Loma Linda Va Medical Center Loma Linda	Loma Linda	$29,035	★★★★☆	C
77	Kaiser Foundation Hospital - Redwood City Redwood City	Redwood City	$29,077	★★★★☆	C
78	Surprise Valley Community Hospital Cedarville	Cedarville	$29,125	Not Rated	C
79	Centinela Hospital Medical Center Inglewood	Inglewood	$29,210	★★☆☆☆	D
80	Keck Hospital Of Usc Los Angeles	Los Angeles	$29,479	★★★★☆	C
81	Huntington Hospital Pasadena	Pasadena	$29,532	★★☆☆☆	D
82	Henry Mayo Newhall Hospital Valencia	Valencia	$29,578	★★☆☆☆	C
83	Anaheim Community Hospital, Llc Anaheim	Anaheim	$30,032	Not Rated	D
84	Sutter Center For Psychiatry Sacramento	Sacramento	$30,140	Not Rated	C
85	Kaiser Foundation Hospital - Panorama City Panorama City	Panorama City	$30,163	★★★★☆	C
86	Kaiser Foundation Hospital - Roseville Roseville	Roseville	$30,222	★★★★☆	C
87	Emanuel Medical Center Turlock	Turlock	$30,380	★★☆☆☆	D
88	Bhc Sierra Vista Hospital, Inc Sacramento	Sacramento	$30,395	Not Rated	D
89	Montclair Hospital Medical Center Montclair	Montclair	$30,404	★★★☆☆	C
90	Kaiser Foundation Hospital - Oakland/Richmond Oakland	Oakland	$30,425	★★☆☆☆	D
91	Va Greater Los Angeles Healthcare System Los Angeles	Los Angeles	$30,547	★★★☆☆	C
92	Santa Clara Valley Medical Center San Jose	San Jose	$30,604	★★★☆☆	C
93	Pacific Grove Hospital Riverside	Riverside	$30,614	Not Rated	D
94	Hoag Memorial Hospital Presbyterian Newport Beach	Newport Beach	$30,650	★★★★★	B
95	Lac/Rancho Los Amigos National Rehabilitation Ctr Downey	Downey	$30,866	★★★☆☆	C
96	Ucsf Benioff Children's Hospital Oakland Oakland	Oakland	$31,040	Not Rated	C
97	Glendale Mem Hospital & Hlth Center Glendale	Glendale	$31,061	★★★☆☆	C
98	Woodland Memorial Hospital Woodland	Woodland	$31,096	★★★★★	C
99	Adventist Health Tulare Tulare	Tulare	$31,129	Not Rated	C
100	Memorialcare Orange Coast Medical Center Fountain Valley	Fountain Valley	$31,156	★★★☆☆	D
101	Doctors Hospital Of Manteca Manteca	Manteca	$31,375	★★☆☆☆	D
102	Nmc San Diego San Diego	San Diego	$31,420	Not Rated	D
103	Eastern Plumas Hospital - Portola Campus Portola	Portola	$31,430	Not Rated	D
104	Mercy General Hospital Sacramento	Sacramento	$31,598	★★★★☆	C
105	Palo Verde Hospital Blythe	Blythe	$31,637	Not Rated	C
106	Zuckerberg San Francisco General Hosp & Trauma Ctr San Francisco	San Francisco	$31,638	★☆☆☆☆	D
107	Northridge Hospital Medical Center Northridge	Northridge	$31,806	★★★★☆	C
108	Kaiser Foundation Hospital, Riverside Riverside	Riverside	$31,901	★★★★★	B
109	Ucla West Valley Medical Center West Hills	West Hills	$32,128	★★☆☆☆	D
110	Barton Memorial Hospital South Lake Tahoe	South Lake Tahoe	$32,261	★★★★☆	C
111	Va San Diego Healthcare System San Diego	San Diego	$32,266	★★★★★	B
112	Stanislaus Surgical Hospital Modesto	Modesto	$32,299	Not Rated	D
113	Loma Linda University Children's Hospital Loma Linda	Loma Linda	$32,308	★★★☆☆	C
114	Del Amo Hospital Torrance	Torrance	$32,439	Not Rated	D
115	Community Regional Medical Center Fresno	Fresno	$32,489	★☆☆☆☆	F
116	Sherman Oaks Hospital Sherman Oaks	Sherman Oaks	$32,508	★★☆☆☆	D
117	Kaiser Foundation Hospital - Vacaville Vacaville	Vacaville	$32,625	★★★★☆	C
118	Emanate Health Foothill Presbyterian Hospital Glendora	Glendora	$32,654	★★★☆☆	C
119	Sutter Medical Center, Sacramento Sacramento	Sacramento	$32,754	★★★★☆	C
120	Uci Health - Fountain Valley Fountain Valley	Fountain Valley	$32,942	★★☆☆☆	D
121	Kaiser Foundation Hospital - West La Los Angeles	Los Angeles	$33,023	★★★☆☆	D
122	Northbay Medical Center Fairfield	Fairfield	$33,069	★★★☆☆	D
123	Mercy Medical Center Merced	Merced	$33,072	★★☆☆☆	D
124	Memorial Medical Center Modesto	Modesto	$33,648	★★☆☆☆	D
125	Sierra Nevada Memorial Hospital Grass Valley	Grass Valley	$33,673	★★★☆☆	C
126	West Anaheim Medical Center Anaheim	Anaheim	$33,674	★★☆☆☆	D
127	Cedar-Sinai Marina Del Rey Hospital Marina Del Rey	Marina Del Rey	$33,767	★★★★☆	C
128	St Johns Regional Medical Center Oxnard	Oxnard	$33,818	★★★☆☆	C
129	California Pacific Medical Center- Van Ness Campus San Francisco	San Francisco	$33,872	★★★☆☆	C
130	Sharp Chula Vista Medical Center Chula Vista	Chula Vista	$33,965	★★★★☆	C
131	Mercy Hospital Of Folsom Folsom	Folsom	$34,099	★★★★☆	B
132	French Hospital Medical Center San Luis Obispo	San Luis Obispo	$34,298	★★★★★	C
133	Kaiser Foundation Hospital - Antioch Antioch	Antioch	$34,305	★★★☆☆	D
134	La Palma Intercommunity Hospital La Palma	La Palma	$34,341	★★★☆☆	C
135	Los Angeles General Medical Center Los Angeles	Los Angeles	$34,363	★★☆☆☆	C
136	Northern Inyo Hospital Bishop	Bishop	$34,627	Not Rated	D
137	Marshall Medical Center Placerville	Placerville	$34,658	★★★☆☆	C
138	Salinas Valley Memorial Hospital Salinas	Salinas	$34,661	★★★★☆	C
139	Mission Community Hospital Panorama City	Panorama City	$34,714	★☆☆☆☆	D
140	Kaiser Foundation Hospital - San Leandro San Leandro	San Leandro	$34,842	★★☆☆☆	D
141	Rady Children's Hospital - San Diego San Diego	San Diego	$34,898	Not Rated	D
142	Memorialcare Saddleback Medical Center Laguna Hills	Laguna Hills	$34,956	★★★★☆	B
143	Kaiser Foundation Hospital - Downey Downey	Downey	$34,958	★★☆☆☆	D
144	Pomona Valley Hospital Medical Center Pomona	Pomona	$35,105	★★★☆☆	C
145	Providence Holy Cross Medical Center Mission Hills	Mission Hills	$35,114	★★★★☆	C
146	Hollywood Presbyterian Medical Center Los Angeles	Los Angeles	$35,141	★★★☆☆	C
147	Children's Hosp Of Los Angeles Los Angeles	Los Angeles	$35,249	Not Rated	D
148	Providence Saint Joseph Medical Ctr Burbank	Burbank	$35,389	★★★☆☆	C
149	Sutter Santa Rosa Regional Hospital Santa Rosa	Santa Rosa	$35,450	★★★★☆	C
150	St Elizabeth Community Hospital Red Bluff	Red Bluff	$35,512	★★★★☆	C
151	Kaiser Foundation Hospital-Santa Rosa Santa Rosa	Santa Rosa	$35,519	★★★★☆	C
152	Shriners Hospitals For Children Northern Calif Sacramento	Sacramento	$35,542	Not Rated	C
153	Martin Luther King, Jr. Community Hospital Los Angeles	Los Angeles	$35,547	★★★☆☆	D
154	Sutter Delta Medical Center Antioch	Antioch	$35,604	★★★☆☆	C
155	San Francisco Va Medical Center San Francisco	San Francisco	$35,686	★★★★☆	C
156	Palomar Health Downtown Campus Escondido	Escondido	$35,769	★★☆☆☆	D
157	Adventist Health Howard Memorial Willits	Willits	$35,887	★★★★★	B
158	Jewish Home & Rehab Center San Francisco	San Francisco	$36,097	Not Rated	D
159	Adventist Health Ukiah Valley Ukiah	Ukiah	$36,227	★★★★☆	C
160	Uc San Diego Health Hillcrest - Hillcrest Med Ctr San Diego	San Diego	$36,269	★★★★★	B
161	Gateways Hosp Mental Health Ctr Los Angeles	Los Angeles	$36,338	Not Rated	D
162	Lompoc Valley Medical Center Lompoc	Lompoc	$36,349	★☆☆☆☆	D
163	Scripps Green Hospital La Jolla	La Jolla	$36,368	★★★★★	B
164	Monterey Park Hospital Monterey Park	Monterey Park	$36,405	★☆☆☆☆	D
165	Fairchild Medical Center Yreka	Yreka	$36,458	★☆☆☆☆	F
166	Telecare Heritage Psychiatric Health Facility Oakland	Oakland	$36,617	Not Rated	D
167	Adventist Health Sonora Sonora	Sonora	$36,665	★★★☆☆	D
168	Whittier Hospital Medical Center Whittier	Whittier	$36,709	★★☆☆☆	D
169	Grossmont Hospital La Mesa	La Mesa	$36,742	★★★☆☆	C
170	California Pacific Medical Ctr-Davies Campus Hosp San Francisco	San Francisco	$36,868	★★★☆☆	D
171	Mercy Medical Center Of Mt Shasta Mount Shasta	Mount Shasta	$36,912	★★★☆☆	C
172	Docs Surgical Hospital Los Angeles	Los Angeles	$36,962	Not Rated	D
173	Clovis Community Medical Center Clovis	Clovis	$37,159	★★☆☆☆	D
174	Adventist Health Clearlake Clearlake	Clearlake	$37,181	★☆☆☆☆	F
175	University Of California Davis Medical Center Sacramento	Sacramento	$37,210	★★★☆☆	C
176	Hemet Global Medical Center Hemet	Hemet	$37,251	★☆☆☆☆	D
177	Kaiser Foundation Hospital - Fresno Fresno	Fresno	$37,478	★★★★☆	D
178	Trinity Hospital Weaverville	Weaverville	$37,528	Not Rated	C
179	Kaiser Foundation Hospital - Los Angeles Los Angeles	Los Angeles	$37,784	★★★★☆	C
180	Healdsburg Hospital Healdsburg	Healdsburg	$37,787	Not Rated	D
181	Sharp Coronado Hospital And Hlthcr Ctr Coronado	Coronado	$37,845	★★★★★	C
182	Casa Colina Hospital Pomona	Pomona	$37,949	★★★☆☆	D
183	Ridgecrest Regional Hospital Ridgecrest	Ridgecrest	$38,314	Not Rated	C
184	Lucile Salter Packard Children's Hsp At Stanford Palo Alto	Palo Alto	$38,851	Not Rated	D
185	Corona Regional Medical Center Corona	Corona	$39,038	★★★☆☆	D
186	Ahmc Seton Medical Center Daly City	Daly City	$39,051	★☆☆☆☆	D
187	Memorialcare Long Beach Medical Center Long Beach	Long Beach	$39,070	★★☆☆☆	D
188	L A Downtown Medical Center Los Angeles	Los Angeles	$39,342	★★☆☆☆	D
189	Aliso Ridge Behavioral Health, Llc Aliso Viejo	Aliso Viejo	$39,516	Not Rated	F
190	Bhc Fremont Hospital Inc Fremont	Fremont	$39,570	Not Rated	D
191	Community Hospital Of San Bernardino San Bernardino	San Bernardino	$39,673	★★★☆☆	C
192	Garden Grove Hospital & Medical Center Garden Grove	Garden Grove	$39,922	★★★☆☆	D
193	Hoag Orthopedic Institute Irvine	Irvine	$39,964	Not Rated	F
194	Dept Of State Hospitals - Napa Napa	Napa	$40,128	Not Rated	D
195	Bakersfield Behavioral Healthcare Hospital, Llc Bakersfield	Bakersfield	$40,295	Not Rated	D
196	60th Medical Group (travis Afb) Travis Afb	Travis Afb	$40,477	Not Rated	D
197	Palo Alto Va Medical Center Palo Alto	Palo Alto	$40,511	★★★★★	B
198	Santa Monica - Ucla Med Ctr & Orthopaedic Hospital Santa Monica	Santa Monica	$40,750	★★★★☆	C
199	Banner Lassen Medical Center Susanville	Susanville	$40,768	★★★☆☆	C
200	Coast Plaza Hospital Norwalk	Norwalk	$41,022	★☆☆☆☆	F
201	Uci Health - Los Alamitos Los Alamitos	Los Alamitos	$41,027	★★★☆☆	D
202	Los Robles Hospital & Medical Center Thousand Oaks	Thousand Oaks	$41,455	★★★★☆	C
203	Adventist Health Simi Valley Simi Valley	Simi Valley	$41,621	★★☆☆☆	D
204	Kaiser Foundation Hospital - San Diego San Diego	San Diego	$41,703	★★★★☆	B
205	Tarzana Treatment Center Tarzana	Tarzana	$41,833	Not Rated	D
206	Providence St. Jude Medical Center Fullerton	Fullerton	$42,504	★★★★☆	D
207	Los Angeles Community Hospital Los Angeles	Los Angeles	$42,556	★★☆☆☆	F
208	Aurora San Diego San Diego	San Diego	$42,814	Not Rated	D
209	San Gabriel Valley Medical Center San Gabriel	San Gabriel	$42,902	★★★★☆	B
210	Washington Hospital Fremont	Fremont	$42,974	★★★☆☆	C
211	Colorado River Medical Center Needles	Needles	$43,084	Not Rated	D
212	Patients' Hospital Of Redding Redding	Redding	$43,090	Not Rated	D
213	Sutter Surgical Hospital - North Valley Yuba City	Yuba City	$43,120	Not Rated	C
214	Peninsula Medical Center Burlingame	Burlingame	$43,150	★★★★★	A
215	Providence Little Co Of Mary Med Ctr San Pedro San Pedro	San Pedro	$43,452	★★★★☆	C
216	Desert Valley Hospital Victorville	Victorville	$44,214	★★★☆☆	D
217	Adventist Health Twin Cities Templeton	Templeton	$44,363	★★☆☆☆	D
218	Watsonville Community Hospital Watsonville	Watsonville	$45,457	★☆☆☆☆	D
219	Heritage Oaks Hospital Sacramento	Sacramento	$45,554	Not Rated	D
220	San Ramon Regional Medical Center San Ramon	San Ramon	$45,746	★★★☆☆	D
221	Sacramento Behavioral Healthcare Hospital, Llc North Sacramento	North Sacramento	$45,886	Not Rated	D
222	Adventist Health Sierra Vista San Luis Obispo	San Luis Obispo	$45,900	★★★☆☆	C
223	Uci Health-Lakewood Lakewood	Lakewood	$46,186	★★☆☆☆	D
224	Adventist Health Lodi Memorial Lodi	Lodi	$46,311	★★★☆☆	D
225	Adventist Health Tehachapi Valley Tehachapi	Tehachapi	$46,935	Not Rated	D
226	Alta Bates Summit Medical Center - Alta Bates Camp Berkeley	Berkeley	$46,970	★★★☆☆	D
227	St Joseph's Medical Center Of Stockton Stockton	Stockton	$47,618	★★★★☆	C
228	Providence Queen Of The Valley Medical Center Napa	Napa	$47,986	★★★★☆	B
229	Anaheim Global Medical Center Anaheim	Anaheim	$50,219	Not Rated	D
230	San Dimas Community Hospital San Dimas	San Dimas	$50,411	★☆☆☆☆	F
231	Uci Health - Placentia Linda Placentia	Placentia	$53,273	★★☆☆☆	F
232	East Los Angeles Doctors Hospital Los Angeles	Los Angeles	$54,088	Not Rated	D
233	Colusa Medical Center Colusa	Colusa	$55,711	★★★★☆	D

Frequently Asked Questions

How much does major hip and knee joint replacement cost in California?

Major Hip and Knee Joint Replacement (DRG 470) averages $32,887 in total Medicare payment across 233 California hospitals reporting this code. Within the state, payments span $15,145 to $55,711 — about 4× from cheapest to most expensive.

Is Major Hip and Knee Joint Replacement more or less expensive in California than nationally?

California's state-level average of $32,887 sits well above the national Medicare average of $24,455 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 4× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.