Phoenix, AZ 85008 · CMS Certification Number 030112. 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 | $13,457 | $84,421 | 6.3× | $12,790 |
| Shoulder replacement | $17,749 | $134,829 | 7.6× | $18,131 |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.2%. For-profit · Acute · 24 beds
Arizona has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Arizona Specialty Hospital an average of $13,457 per inpatient hip or knee replacement stay (MS-DRG 470, 156 stays) and $12,790 per outpatient case (APC 5115, 468 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $84,421, 6.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Gateway Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $4,485 less than an inpatient stay at Arizona Specialty Hospital. Not every patient is a surgery-center candidate.
Medicare paid Arizona Specialty Hospital less than 90% of the 29 Arizona hospitals that report inpatient hip or knee replacement.