Price AtlasInteractive atlas · All states · techysurgeon.comMercy Gilbert Medical Center: what a joint replacement costs
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.
Medicare prices at Mercy Gilbert Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,804 | 2.4× | $28,991–$37,883 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS AZ | $37,883 | 2.6× | 1 |
| Aetna | $35,295 | 2.5× | 1 |
| Cigna | $34,804 | 2.4× | 1 |
| UnitedHealthcare | $29,947 | 2.1× | 1 |
| Connected Care | $28,991 | 2.0× | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Mercy Gilbert Medical Center for a knee or hip replacement?
In 2024 the average total payment to Mercy Gilbert Medical Center for an inpatient hip or knee replacement stay was $14,313 (MS-DRG 470, 41 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,814 per outpatient case (APC 5115, 98 cases).
What is Mercy Gilbert Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $125,534, 8.8× 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 Mercy Gilbert Medical Center?
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.
How does Mercy Gilbert Medical Center compare with other Arizona hospitals?
Mercy Gilbert Medical Center's average total payment per Medicare stay is lower than 62% of the 29 Arizona hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Mercy Gilbert 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 $34,804 across 5 insurers, ranging from $28,991 to $37,883.