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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
211 Medicare cases, APC 5115
Inpatient here
$14,340
21 Medicare stays, MS-DRG 470

Medicare prices at Northwest Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 Medicare paid Northwest Medical Center an average of $14,340 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $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× 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 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?

Medicare paid Northwest Medical Center less than 59% of the 29 Arizona hospitals that report inpatient hip or knee replacement.