Mesa, AZ 85202 · CMS Certification Number 030065. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,165 | $103,469 | 6.8× | $12,493 |
| Shoulder replacement | — | — | — | $16,717 |
| Hip replacement after a fracture (DRG 522) | $18,100 | $87,803 | 4.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,862 | 2.8× | $15,942–$54,212 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $54,212 | 3.6× | 1 |
| BCBS AZ | $48,223 | 3.2× | 1 |
| UnitedHealthcare | $47,500 | 3.1× | 1 |
| Aetna | $38,225 | 2.5× | 1 |
| Oscar | $26,304 | 1.7× | 1 |
| Gila River Health Care Corporation | $15,942 | 1.1× | 1 |
From the hospital's price-transparency file (2026-03-02); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-02); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 595 beds
Arizona has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Banner Desert Medical Center for an inpatient hip or knee replacement stay was $15,165 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,493 per outpatient case (APC 5115, 99 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $103,469, 6.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Banner Desert Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $6,193 less than an inpatient stay at Banner Desert Medical Center. Not every patient is a surgery-center candidate.
Banner Desert Medical Center's average total payment per Medicare stay is higher than 66% of the 29 Arizona hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $42,862 across 6 insurers, ranging from $15,942 to $54,212.