How much does major joint replacement, lower extremity, w/ MCC cost in San Francisco, CA?
CPT 469 — the fair price, every hospital's price, and the Medicare benchmark for San Francisco, CA.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Good Samaritan Hospital (San Jose) lowest | Hospital | $16,294negotiated | — | — |
| Kaiser Permanente San Francisco Medical Center (San Francisco) | Hospital | $20,329negotiated | — | ★★★★★ |
| Dignity Dominican Hospital (Santa Cruz) | Hospital | $29,150negotiated | — | — |
| Providence Santa Rosa Memorial Hospital (Santa Rosa) | Hospital | $33,693negotiated | — | — |
| Providence Queen of the Valley Medical Center (Napa) | Hospital | $33,697negotiated | — | — |
| Dignity Sequoia Hospital (Redwood City) | Hospital | $35,140negotiated | — | ★★★★★ |
| Stanford Health Care (Stanford) | Hospital | $45,072negotiated | — | ★★★★★ |
| UCSF Medical Center (San Francisco) | Hospital | $47,638negotiated | — | ★★★★★ |
| Sutter Eden Medical Center (Castro Valley) | Hospital | $68,766negotiated | — | — |
| Sutter Alta Bates Summit Medical Center (Oakland) | Hospital | $74,306negotiated | — | — |
| Sutter Mills-Peninsula Medical Center (Burlingame) | Hospital | $80,563negotiated | — | ★★★★★ |
| Natividad Medical Center (Salinas) | Hospital | $84,342cash | — | — |
| Sutter Santa Rosa Regional Hospital (Santa Rosa) | Hospital | $85,496negotiated | — | — |
| Sutter CPMC Van Ness Campus (San Francisco) | Hospital | $89,310negotiated | — | — |
| Stanford Health Care Tri-Valley (Pleasanton) | Hospital | $94,415negotiated | — | — |
| Highland Hospital – Alameda Health System (Oakland) | Hospital | $119,318cash | — | — |
| Lucile Packard Children's Hospital Stanford (Palo Alto) gross charge | Hospital | $392,770cash | — | — |
- No Medicare benchmark on file for 469 (Major joint replacement, lower extremity, w/ MCC) — I can't anchor to Medicare here. Please send your pricing methodology for this code.
- Your own published cash / self-pay price for 469 is $119,317.66, and negotiated rates at nearby facilities run $33,695.40–$87,403.00. Please apply a rate in that range to my bill rather than the gross charge.
- Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
- Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
What should 469 cost in San Francisco, CA?
For major joint replacement, lower extremity, w/ MCC (CPT 469) in San Francisco, CA, a fair self-pay price is around $58,202, with hospitals ranging from $33,695 to $87,403 across 17 facilities. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does major joint replacement, lower extremity, w/ MCC cost in San Francisco, CA?
A fair self-pay price for major joint replacement, lower extremity, w/ MCC (CPT 469) in San Francisco, CA is around $58,202, with hospital prices ranging from $33,695 to $87,403 across 17 facilities. These are estimates from hospital-published prices, not a guarantee.
Can I negotiate the price of major joint replacement, lower extremity, w/ MCC?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in San Francisco, CA
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.