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Arizona Spine and Joint Hospital: what a joint replacement costs

Mesa, AZ 85206 · CMS Certification Number 030107. 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
$8,972
Canyon Pain Surgery Center LLC, same ZIP
Outpatient here
$12,651
Medicare allowed amount, 519 cases, APC 5115
Inpatient here
$13,624
Avg total payment (incl. patient share), 124 Medicare stays, MS-DRG 470

Medicare prices at Arizona Spine and Joint Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,624$87,1886.4×$12,651
Shoulder replacement$18,254$137,8557.6×$17,996

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 4.5%. Physician-owned · Acute · 23 beds

Arizona has a certificate-of-need program that does not cover surgery centers.

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Questions

How much does Medicare pay Arizona Spine and Joint Hospital for a knee or hip replacement?

In 2024 the average total payment to Arizona Spine and Joint Hospital for an inpatient hip or knee replacement stay was $13,624 (MS-DRG 470, 124 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,651 per outpatient case (APC 5115, 519 cases).

What is Arizona Spine and Joint Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,188, 6.4× the average total payment for a Medicare stay. 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 Arizona Spine and Joint Hospital?

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), $4,652 less than an inpatient stay at Arizona Spine and Joint Hospital. Not every patient is a surgery-center candidate.

How does Arizona Spine and Joint Hospital compare with other Arizona hospitals?

Arizona Spine and Joint Hospital's average total payment per Medicare stay is lower than 86% of the 29 Arizona hospitals that report inpatient hip or knee replacement.