Scottsdale, AZ 85260 · CMS Certification Number 030087. 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 | $13,775 | $131,982 | 9.6× | $12,686 |
| Shoulder replacement | $18,693 | $187,829 | 10.0× | $17,917 |
| Hip replacement after a fracture (DRG 522) | $15,310 | $138,194 | 9.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,107 | 2.3× | $27,219–$47,187 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS AZ | $47,187 | 3.4× | 1 |
| Aetna | $36,196 | 2.6× | 1 |
| UnitedHealthcare | $32,107 | 2.3× | 1 |
| Cigna | $31,536 | 2.3× | 1 |
| Humana | $27,219 | 2.0× | 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: 4.4% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 425 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 Honorhealth Scottsdale Shea Medical Center for an inpatient hip or knee replacement stay was $13,775 (MS-DRG 470, 71 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,686 per outpatient case (APC 5115, 348 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $131,982, 9.6× 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. Toca at Banner Health Scottsdale, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $4,803 less than an inpatient stay at Honorhealth Scottsdale Shea Medical Center. Not every patient is a surgery-center candidate.
Honorhealth Scottsdale Shea Medical Center's average total payment per Medicare stay is lower than 83% 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 $32,107 across 5 insurers, ranging from $27,219 to $47,187.