Flagstaff, AZ 86001 · CMS Certification Number 030023. 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 | $25,567 | $53,349 | 2.1× | $13,453 |
| Shoulder replacement | $32,353 | $83,351 | 2.6× | $19,173 |
| Hip replacement after a fracture (DRG 522) | $31,817 | $72,243 | 2.3× | — |
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 264 beds
Arizona has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Flagstaff Medical Center an average of $25,567 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $13,453 per outpatient case (APC 5115, 135 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $53,349, 2.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Flagstaff Bone & Joint Surgical Center LLC, an orthopedic surgery center same ZIP away, is paid about $9,261 by Medicare for a knee replacement (CPT 27447), $16,306 less than an inpatient stay at Flagstaff Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Flagstaff Medical Center more than 100% of the 29 Arizona hospitals that report inpatient hip or knee replacement.