Phoenix, AZ 85054 · CMS Certification Number 030103. 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 | $22,688 | $74,953 | 3.3× | $12,668 |
| Shoulder replacement | $29,152 | $86,326 | 3.0× | $18,131 |
| Hip replacement after a fracture (DRG 522) | $24,048 | $77,480 | 3.2× | — |
Complications after hip or knee replacement: 6.9% (worse than the national rate). Readmissions: 6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 280 beds
Arizona has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Mayo Clinic Hospital an average of $22,688 per inpatient hip or knee replacement stay (MS-DRG 470, 55 stays) and $12,668 per outpatient case (APC 5115, 382 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,953, 3.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Desert Ridge Outpatient Surgery Center, an orthopedic surgery center 3.1 mi away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $13,716 less than an inpatient stay at Mayo Clinic Hospital. Not every patient is a surgery-center candidate.
Medicare paid Mayo Clinic Hospital more than 97% of the 29 Arizona hospitals that report inpatient hip or knee replacement.