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Banner Estrella Medical Center: what a joint replacement costs

Phoenix, AZ 85037 · CMS Certification Number 030115. 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
Banner Estrella Surgery Center, same ZIP
Outpatient here
$12,535
Medicare allowed amount, 80 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Banner Estrella Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,535
Shoulder replacement———$17,874
Hip replacement after a fracture (DRG 522)$17,200$76,4544.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$42,862—$16,329–$54,2126
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$54,212—1
BCBS AZ$53,862—1
UnitedHealthcare$47,500—1
Aetna$38,225—1
Oscar$26,943—1
Gila River Health Care Corporation$16,329—1

From the hospital's price-transparency file (2026-03-02); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-02); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 317 beds

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

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Questions

How much does Medicare pay Banner Estrella Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $12,535 per outpatient hip or knee replacement case (APC 5115, 80 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Banner Estrella Medical Center?

Yes for Medicare facility payments. Banner Estrella Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Banner Estrella Medical Center 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 $42,862 across 6 insurers, ranging from $16,329 to $54,212.