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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,814 | $131,518 | 9.5× | $12,683 |
| Shoulder replacement | — | — | — | $18,131 |
| Hip replacement after a fracture (DRG 522) | $14,921 | $136,926 | 9.2× | — |
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.
Open the interactive price tagBuild a reportAll Arizona hospitals
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).
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.
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.
Medicare paid Oro Valley Hospital less than 76% of the 29 Arizona hospitals that report inpatient hip or knee replacement.