How much does major joint replacement, lower extremity, w/ MCC cost in California?
CPT 469 — the fair price, every hospital's price, and the Medicare benchmark for California.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
469 Major joint replacement, lower extremity, w/ MCC
⚠ bare numeric assumed MS-DRG; verify
Ask to pay
$49,308
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$36,062
Ask $49,308
$3,000 lowboxed = typical rangehigh $392,770
What Medicare paysⓘ
no data
Typical price near you
$36,062
Cash / self-pay price
$49,308
Prices near you — 88 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Los Robles Health System (Thousand Oaks) lowest | Hospital | $3,000negotiated | — | — |
| Desert Regional Medical Center (Palm Springs) | Hospital | $10,425negotiated | — | — |
| JFK Memorial Hospital (Indio) | Hospital | $10,425negotiated | — | — |
| Kaiser Permanente Los Angeles Medical Center (Los Angeles) | Hospital | $14,678negotiated | — | ★★★★★ |
| Kaiser Permanente San Diego Zion Medical Center (San Diego) | Hospital | $14,678negotiated | — | ★★★★★ |
| Kaiser Permanente Fontana Medical Center (Fontana) | Hospital | $14,678negotiated | — | — |
| Good Samaritan Hospital (San Jose) | Hospital | $16,294negotiated | — | — |
| Eisenhower Medical Center (Rancho Mirage) | Hospital | $16,710cash | — | ★★★★★ |
| Kaweah Health Medical Center (Visalia) | Hospital | $17,552negotiated | — | — |
| Kaiser Permanente Fresno Medical Center (Fresno) | Hospital | $20,329negotiated | — | — |
| Kaiser Permanente Sacramento Medical Center (Sacramento) | Hospital | $20,329negotiated | — | ★★★★★ |
| Kaiser Permanente San Francisco Medical Center (San Francisco) | Hospital | $20,329negotiated | — | ★★★★★ |
| Loma Linda University Medical Center – Murrieta (Murrieta) | Hospital | $24,040negotiated | — | — |
| Sharp Memorial Hospital (San Diego) | Hospital | $24,812cash | — | ★★★★★ |
| Hoag Memorial Hospital Presbyterian (Newport Beach) | Hospital | $29,136negotiated | — | ★★★★★ |
| Dignity Dominican Hospital (Santa Cruz) | Hospital | $29,150negotiated | — | — |
| Tri-City Medical Center (Oceanside) | Hospital | $29,318negotiated | — | — |
| Providence Mission Hospital (Mission Viejo) | Hospital | $29,438negotiated | — | ★★★★★ |
| Clovis Community Medical Center (Clovis) | Hospital | $29,591negotiated | — | — |
| Providence St. Jude Medical Center (Fullerton) | Hospital | $29,680negotiated | — | ★★★★★ |
| Providence St. Joseph Hospital (Orange) | Hospital | $30,916negotiated | — | ★★★★★ |
| Providence St. Mary Medical Center (Apple Valley) | Hospital | $31,012negotiated | — | — |
| Centinela Hospital Medical Center (Inglewood) | Hospital | $31,362cash | — | — |
| Dignity St. John's Regional Medical Center (Oxnard) | Hospital | $31,481negotiated | — | — |
| USC Arcadia Hospital (Arcadia) | Hospital | $32,486negotiated | — | — |
| Dignity Mercy Medical Center Redding (Redding) | Hospital | $32,544negotiated | — | — |
| Dignity Bakersfield Memorial Hospital (Bakersfield) | Hospital | $32,997negotiated | — | — |
| Adventist Health Bakersfield (Bakersfield) | Hospital | $33,391cash | — | — |
| Dignity Northridge Hospital Medical Center (Northridge) | Hospital | $33,500negotiated | — | ★★★★★ |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $33,522negotiated | — | — |
| Dignity Mercy General Hospital (Sacramento) | Hospital | $33,608negotiated | — | ★★★★★ |
| Providence Santa Rosa Memorial Hospital (Santa Rosa) | Hospital | $33,693negotiated | — | — |
| Providence Queen of the Valley Medical Center (Napa) | Hospital | $33,697negotiated | — | — |
| Dignity Mercy San Juan Medical Center (Carmichael) | Hospital | $33,712negotiated | — | — |
| Dignity Glendale Memorial Hospital (Glendale) | Hospital | $34,137negotiated | — | — |
| Community Regional Medical Center (Fresno) | Hospital | $34,669negotiated | — | — |
| Cedars-Sinai Medical Center (Los Angeles) | Hospital | $35,132negotiated | — | ★★★★★ |
| Dignity Sequoia Hospital (Redwood City) | Hospital | $35,140negotiated | — | ★★★★★ |
| Dignity St. Bernardine Medical Center (San Bernardino) | Hospital | $36,061negotiated | — | — |
| Dignity St. Mary Medical Center (Long Beach) | Hospital | $36,063negotiated | — | — |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $36,865negotiated | — | ★★★★★ |
| UCLA Santa Monica Medical Center (Santa Monica) | Hospital | $37,306negotiated | — | ★★★★★ |
| Riverside Community Hospital (Riverside) | Hospital | $37,382negotiated | — | — |
| Dignity California Hospital Medical Center (Los Angeles) | Hospital | $38,733negotiated | — | — |
| Adventist Health White Memorial (Los Angeles) | Hospital | $39,594cash | — | — |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $39,746negotiated | — | ★★★★★ |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $39,857negotiated | — | — |
| MemorialCare Long Beach Medical Center (Long Beach) | Hospital | $40,218negotiated | — | ★★★★★ |
| Loma Linda University Medical Center (Loma Linda) | Hospital | $41,904negotiated | — | ★★★★★ |
| Dignity St. Joseph's Medical Center (Stockton) | Hospital | $42,123negotiated | — | — |
| UC Davis Medical Center (Sacramento) | Hospital | $42,261negotiated | — | ★★★★★ |
| MemorialCare Orange Coast Medical Center (Fountain Valley) | Hospital | $43,179negotiated | — | — |
| Adventist Health Glendale (Glendale) | Hospital | $43,376cash | — | ★★★★★ |
| MemorialCare Saddleback Medical Center (Laguna Hills) | Hospital | $43,442negotiated | — | ★★★★★ |
| Scripps Mercy Hospital Chula Vista (Chula Vista) | Hospital | $43,954cash | — | — |
| Sharp Coronado Hospital (Coronado) | Hospital | $44,212cash | — | ★★★★★ |
| UCI Health – Lakewood (Lakewood) | Hospital | $44,984negotiated | — | — |
| UCI Health – Fountain Valley (Fountain Valley) | Hospital | $44,984negotiated | — | — |
| UCI Health – Los Alamitos (Los Alamitos) | Hospital | $44,984negotiated | — | — |
| UCI Medical Center (Orange) | Hospital | $44,984negotiated | — | ★★★★★ |
| UCI Health – Placentia Linda (Placentia) | Hospital | $44,984negotiated | — | — |
| Stanford Health Care (Stanford) | Hospital | $45,072negotiated | — | ★★★★★ |
| Scripps Mercy Hospital San Diego (San Diego) | Hospital | $46,713cash | — | ★★★★★ |
| UCSF Medical Center (San Francisco) | Hospital | $47,638negotiated | — | ★★★★★ |
| Scripps Green Hospital (La Jolla) | Hospital | $49,308cash | — | ★★★★★ |
| Ronald Reagan UCLA Medical Center (Los Angeles) | Hospital | $50,583negotiated | — | ★★★★★ |
| Scripps Memorial Hospital La Jolla (La Jolla) | Hospital | $51,622cash | — | ★★★★★ |
| Scripps Memorial Hospital Encinitas (Encinitas) | Hospital | $52,379cash | — | ★★★★★ |
| Keck Hospital of USC (Los Angeles) | Hospital | $53,091negotiated | — | ★★★★★ |
| Pomona Valley Hospital Medical Center (Pomona) | Hospital | $55,559negotiated | — | ★★★★★ |
| Los Angeles General Medical Center (Los Angeles) | Hospital | $57,621negotiated | — | ★★★★★ |
| Harbor-UCLA Medical Center (Torrance) | Hospital | $57,841negotiated | — | — |
| Sutter Roseville Medical Center (Roseville) | Hospital | $64,202negotiated | — | ★★★★★ |
| Sutter Eden Medical Center (Castro Valley) | Hospital | $68,766negotiated | — | — |
| UC San Diego Health - Hillcrest & Jacobs Medical Center (San Diego) | Hospital | $71,059cash | — | — |
| Sutter Alta Bates Summit Medical Center (Oakland) | Hospital | $74,306negotiated | — | — |
| Sutter Mills-Peninsula Medical Center (Burlingame) | Hospital | $80,563negotiated | — | ★★★★★ |
| Sutter Memorial Medical Center (Modesto) | Hospital | $80,735negotiated | — | — |
| Natividad Medical Center (Salinas) gross charge | Hospital | $84,342cash | — | — |
| Sutter Santa Rosa Regional Hospital (Santa Rosa) gross charge | Hospital | $85,496negotiated | — | — |
| Sutter Medical Center Sacramento (Sacramento) gross charge | Hospital | $88,105negotiated | — | ★★★★★ |
| Sutter CPMC Van Ness Campus (San Francisco) gross charge | Hospital | $89,310negotiated | — | — |
| Stanford Health Care Tri-Valley (Pleasanton) gross charge | Hospital | $94,415negotiated | — | — |
| Highland Hospital – Alameda Health System (Oakland) gross charge | Hospital | $119,318cash | — | — |
| Sharp Grossmont Hospital (La Mesa) gross charge | Hospital | $191,741cash | — | ★★★★★ |
| Sharp Chula Vista Medical Center (Chula Vista) gross charge | Hospital | $215,938cash | — | — |
| Riverside University Health System Medical Center (Moreno Valley) gross charge | Hospital | $246,475cash | — | — |
| Lucile Packard Children's Hospital Stanford (Palo Alto) gross charge | Hospital | $392,770cash | — | — |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 10 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
- 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 $49,307.98, and negotiated rates at nearby facilities run $31,099.83–$51,361.99. 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.
See major joint replacement, lower extremity, w/ MCC prices in another area
What should 469 cost in California?
For major joint replacement, lower extremity, w/ MCC (CPT 469) in California, a fair self-pay price is around $36,062, with hospitals ranging from $31,100 to $51,362 across 88 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 California?
A fair self-pay price for major joint replacement, lower extremity, w/ MCC (CPT 469) in California is around $36,062, with hospital prices ranging from $31,100 to $51,362 across 88 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.
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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.