Sun City West, AZ 85375 · CMS Certification Number 030093. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,100 | $92,634 | 6.6× | $12,692 |
| Shoulder replacement | — | — | — | $18,131 |
| Hip replacement after a fracture (DRG 522) | $15,328 | $71,060 | 4.6× | — |
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 394 beds
Arizona has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Banner del E. Webb Medical Center an average of $14,100 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $12,692 per outpatient case (APC 5115, 238 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $92,634, 6.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Banner Sun City West Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $5,128 less than an inpatient stay at Banner del E. Webb Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Banner del E. Webb Medical Center less than 69% of the 29 Arizona hospitals that report inpatient hip or knee replacement.