Gilbert, AZ 85297 · CMS Certification Number 030119. 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 | $14,313 | $125,534 | 8.8× | $12,814 |
| Shoulder replacement | $18,882 | $169,047 | 9.0× | $18,131 |
| Hip replacement after a fracture (DRG 522) | $15,536 | $150,684 | 9.7× | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 197 beds
Arizona has a certificate-of-need program that does not cover surgery centers.
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In 2024 Medicare paid Mercy Gilbert Medical Center an average of $14,313 per inpatient hip or knee replacement stay (MS-DRG 470, 41 stays) and $12,814 per outpatient case (APC 5115, 98 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $125,534, 8.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgcenter Gilbert, an orthopedic surgery center same ZIP away, is paid about $8,972 by Medicare for a knee replacement (CPT 27447), $5,341 less than an inpatient stay at Mercy Gilbert Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Mercy Gilbert Medical Center less than 62% of the 29 Arizona hospitals that report inpatient hip or knee replacement.