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Arizona Specialty Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,972
Gateway Surgery Center, same ZIP
Outpatient here
$12,790
468 Medicare cases, APC 5115
Inpatient here
$13,457
156 Medicare stays, MS-DRG 470

Medicare prices at Arizona Specialty Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,457$84,4216.3×$12,790
Shoulder replacement$17,749$134,8297.6×$18,131

Quality

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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Questions

How much does Medicare pay Arizona Specialty Hospital for a knee or hip replacement?

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).

What is Arizona Specialty Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Arizona Specialty Hospital?

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.

How does Arizona Specialty Hospital compare with other Arizona hospitals?

Medicare paid Arizona Specialty Hospital less than 90% of the 29 Arizona hospitals that report inpatient hip or knee replacement.