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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
Medicare allowed amount, 426 cases, APC 5115
Inpatient here
$13,814
Avg total payment (incl. patient share), 66 Medicare stays, MS-DRG 470

Medicare prices at Oro Valley Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,4321.7×$20,866–$27,6634
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS AZ$27,6632.0×1
Cigna$25,1081.8×1
UnitedHealthcare$21,7561.6×1
Aetna$20,8661.5×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

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 the average total payment to Oro Valley Hospital for an inpatient hip or knee replacement stay was $13,814 (MS-DRG 470, 66 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?

Oro Valley Hospital's average total payment per Medicare stay is lower than 76% of the 29 Arizona hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Oro Valley Hospital for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,432 across 4 insurers, ranging from $20,866 to $27,663.