Mesa, AZ 85206 · CMS Certification Number 030088. 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 | $13,793 | $73,247 | 5.3× | $12,717 |
| Shoulder replacement | — | — | — | $18,131 |
| Hip replacement after a fracture (DRG 522) | $15,265 | $75,031 | 4.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,862 | 3.1× | $14,640–$54,212 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $54,212 | 3.9× | 1 |
| BCBS AZ | $50,270 | 3.6× | 1 |
| UnitedHealthcare | $47,500 | 3.4× | 1 |
| Aetna | $38,225 | 2.8× | 1 |
| Oscar | $24,156 | 1.8× | 1 |
| Gila River Health Care Corporation | $14,640 | 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: 4.1% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 359 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 Baywood Medical Center for an inpatient hip or knee replacement stay was $13,793 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,717 per outpatient case (APC 5115, 228 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,247, 5.3× 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. Canyon Pain Surgery Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $4,821 less than an inpatient stay at Banner Baywood Medical Center. Not every patient is a surgery-center candidate.
Banner Baywood Medical Center's average total payment per Medicare stay is lower than 79% 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 $14,640 to $54,212.