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Northwest Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,393
Carondelet Foothills Surgery Center, same ZIP
Outpatient here
$12,761
Medicare allowed amount, 211 cases, APC 5115
Inpatient here
$14,340
Avg total payment (incl. patient share), 21 Medicare stays, MS-DRG 470

Medicare prices at Northwest Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,340$119,7358.3×$12,761
Shoulder replacement———$18,131
Hip replacement after a fracture (DRG 522)$15,886$128,4258.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,7561.7×$16,394–$35,0759
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Seven Corners$35,0752.4×1
NODE Fusion Network$29,8082.1×1
BCBS AZ$27,6631.9×1
Cigna$24,5951.7×1
NODE US Dept of Labor$23,7561.7×1
UnitedHealthcare$23,3811.6×1
Aetna$20,8661.5×1
Health Net$19,9161.4×1
Pascua Yaqui Tribe$16,3941.1×1

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.

Quality

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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Questions

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

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).

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

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.

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

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.

How does Northwest Medical Center compare with other Arizona hospitals?

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.

What do commercial insurers pay Northwest Medical Center for a 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.