Tucson, AZ 85741 · CMS Certification Number 030085. 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 | $14,340 | $119,735 | 8.3× | $12,761 |
| Shoulder replacement | — | — | — | $18,131 |
| Hip replacement after a fracture (DRG 522) | $15,886 | $128,425 | 8.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,756 | 1.7× | $16,394–$35,075 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Seven Corners | $35,075 | 2.4× | 1 |
| NODE Fusion Network | $29,808 | 2.1× | 1 |
| BCBS AZ | $27,663 | 1.9× | 1 |
| Cigna | $24,595 | 1.7× | 1 |
| NODE US Dept of Labor | $23,756 | 1.7× | 1 |
| UnitedHealthcare | $23,381 | 1.6× | 1 |
| Aetna | $20,866 | 1.5× | 1 |
| Health Net | $19,916 | 1.4× | 1 |
| Pascua Yaqui Tribe | $16,394 | 1.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 300 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 Northwest Medical Center for an inpatient hip or knee replacement stay was $14,340 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,761 per outpatient case (APC 5115, 211 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $119,735, 8.3× 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. Carondelet Foothills Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,393 by Medicare for a knee replacement (CPT 27447), $5,947 less than an inpatient stay at Northwest Medical Center. Not every patient is a surgery-center candidate.
Northwest Medical Center's average total payment per Medicare stay is lower than 59% 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 $23,756 across 9 insurers, ranging from $16,394 to $35,075.