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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,912 | $308,825 | 20.7× | $12,541 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $15,964 | $289,962 | 18.2× | — |
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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In 2024 Medicare paid St Joseph's Hospital an average of $14,912 per inpatient hip or knee replacement stay (MS-DRG 470, 34 stays) and $12,541 per outpatient case (APC 5115, 82 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $308,825, 20.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid St Joseph's Hospital more than 55% of the 29 Arizona hospitals that report inpatient hip or knee replacement.