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Flagstaff Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,261
Flagstaff Bone & Joint Surgical Center LLC, same ZIP
Outpatient here
$13,453
135 Medicare cases, APC 5115
Inpatient here
$25,567
51 Medicare stays, MS-DRG 470

Medicare prices at Flagstaff Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$25,567$53,3492.1×$13,453
Shoulder replacement$32,353$83,3512.6×$19,173
Hip replacement after a fracture (DRG 522)$31,817$72,2432.3×—

Quality

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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Questions

How much does Medicare pay Flagstaff Medical Center for a knee or hip replacement?

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).

What is Flagstaff Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Flagstaff Medical Center?

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.

How does Flagstaff Medical Center compare with other Arizona hospitals?

Medicare paid Flagstaff Medical Center more than 100% of the 29 Arizona hospitals that report inpatient hip or knee replacement.