Phoenix, AZ 85015 · CMS Certification Number 030108. 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 | $13,432 | $81,948 | 6.1× | $12,603 |
| Shoulder replacement | — | — | — | $17,962 |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 6.4%. Physician-owned · Acute · 32 beds
Arizona has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid The Core Institute Specialty Hospital an average of $13,432 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $12,603 per outpatient case (APC 5115, 826 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,948, 6.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Canyon Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $4,460 less than an inpatient stay at The Core Institute Specialty Hospital. Not every patient is a surgery-center candidate.
Medicare paid The Core Institute Specialty Hospital less than 93% of the 29 Arizona hospitals that report inpatient hip or knee replacement.