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Oro Valley Hospital: what a joint replacement costs

Oro Valley, AZ 85755 · CMS Certification Number 030114. 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
$8,393
Oro Valley Surgical Suites, LLC, 8.9 mi
Outpatient here
$12,683
426 Medicare cases, APC 5115
Inpatient here
$13,814
66 Medicare stays, MS-DRG 470

Medicare prices at Oro Valley Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,814$131,5189.5×$12,683
Shoulder replacement———$18,131
Hip replacement after a fracture (DRG 522)$14,921$136,9269.2×—

Quality

Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 146 beds

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

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Questions

How much does Medicare pay Oro Valley Hospital for a knee or hip replacement?

In 2024 Medicare paid Oro Valley Hospital an average of $13,814 per inpatient hip or knee replacement stay (MS-DRG 470, 66 stays) and $12,683 per outpatient case (APC 5115, 426 cases).

What is Oro Valley Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $131,518, 9.5× 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 Oro Valley Hospital?

Yes for Medicare facility payments. Oro Valley Surgical Suites, LLC, an orthopedic surgery center 8.9 mi away, is paid about $8,393 by Medicare for a knee replacement (CPT 27447), $5,421 less than an inpatient stay at Oro Valley Hospital. Not every patient is a surgery-center candidate.

How does Oro Valley Hospital compare with other Arizona hospitals?

Medicare paid Oro Valley Hospital less than 76% of the 29 Arizona hospitals that report inpatient hip or knee replacement.