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The Core Institute Specialty Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,972
Canyon Surgery Center, same ZIP
Outpatient here
$12,603
Medicare allowed amount, 826 cases, APC 5115
Inpatient here
$13,432
Avg total payment (incl. patient share), 22 Medicare stays, MS-DRG 470

Medicare prices at The Core Institute Specialty Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,432$81,9486.1×$12,603
Shoulder replacement———$17,962

Quality

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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Questions

How much does Medicare pay The Core Institute Specialty Hospital for a knee or hip replacement?

In 2024 the average total payment to The Core Institute Specialty Hospital for an inpatient hip or knee replacement stay was $13,432 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,603 per outpatient case (APC 5115, 826 cases).

What is The Core Institute Specialty Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,948, 6.1× 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 The Core Institute Specialty Hospital?

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.

How does The Core Institute Specialty Hospital compare with other Arizona hospitals?

The Core Institute Specialty Hospital's average total payment per Medicare stay is lower than 93% of the 29 Arizona hospitals that report inpatient hip or knee replacement.