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St Joseph's Hospital: what a joint replacement costs

Tucson, AZ 85711 · CMS Certification Number 030011. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,393
Camp Lowell Surgery Center, LLC, 2.6 mi
Outpatient here
$12,541
Medicare allowed amount, 82 cases, APC 5115
Inpatient here
$14,912
Avg total payment (incl. patient share), 34 Medicare stays, MS-DRG 470

Medicare prices at St Joseph's Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,912$308,82520.7×$12,541
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,964$289,96218.2×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 486 beds

Arizona has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay St Joseph's Hospital for a knee or hip replacement?

In 2024 the average total payment to St Joseph's Hospital for an inpatient hip or knee replacement stay was $14,912 (MS-DRG 470, 34 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,541 per outpatient case (APC 5115, 82 cases).

What is St Joseph's Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $308,825, 20.7× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near St Joseph's Hospital?

Yes for Medicare facility payments. Camp Lowell Surgery Center, LLC, an orthopedic surgery center 2.6 mi away, is paid about $8,393 by Medicare for a knee replacement (CPT 27447), $6,519 less than an inpatient stay at St Joseph's Hospital. Not every patient is a surgery-center candidate.

How does St Joseph's Hospital compare with other Arizona hospitals?

St Joseph's Hospital's average total payment per Medicare stay is higher than 55% of the 29 Arizona hospitals that report inpatient hip or knee replacement.