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Summit Healthcare Regional Medical Center: what a joint replacement costs

Show Low, AZ 85901 · CMS Certification Number 030062. 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
$8,175
Sunrise Ambulatory Surgical Center, 10.5 mi
Outpatient here
$13,634
Medicare allowed amount, 138 cases, APC 5115
Inpatient here
$19,123
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Summit Healthcare Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$19,123$97,5825.1×$13,634
Shoulder replacement———$19,416
Hip replacement after a fracture (DRG 522)$21,412$88,6994.1×—

Quality

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 101 beds

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

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Questions

How much does Medicare pay Summit Healthcare Regional Medical Center for a knee or hip replacement?

In 2024 the average total payment to Summit Healthcare Regional Medical Center for an inpatient hip or knee replacement stay was $19,123 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,634 per outpatient case (APC 5115, 138 cases).

What is Summit Healthcare Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $97,582, 5.1× 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 Summit Healthcare Regional Medical Center?

Yes for Medicare facility payments. Sunrise Ambulatory Surgical Center, an orthopedic surgery center 10.5 mi away, is paid about $8,175 by Medicare for a knee replacement (CPT 27447), $10,948 less than an inpatient stay at Summit Healthcare Regional Medical Center. Not every patient is a surgery-center candidate.

How does Summit Healthcare Regional Medical Center compare with other Arizona hospitals?

Summit Healthcare Regional Medical Center's average total payment per Medicare stay is higher than 93% of the 29 Arizona hospitals that report inpatient hip or knee replacement.