Phoenix, AZ 85020 · CMS Certification Number 030014. 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 | $15,088 | $117,497 | 7.8× | $12,642 |
| Shoulder replacement | — | — | — | $18,131 |
| Hip replacement after a fracture (DRG 522) | $16,719 | $162,317 | 9.7× | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 262 beds
Arizona has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Honorhealth John C. Lincoln Medical Center an average of $15,088 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $12,642 per outpatient case (APC 5115, 121 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $117,497, 7.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Honorhealth Outpatient Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $6,116 less than an inpatient stay at Honorhealth John C. Lincoln Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Honorhealth John C. Lincoln Medical Center more than 62% of the 29 Arizona hospitals that report inpatient hip or knee replacement.