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Northwest Medical Center Sahuarita: what a joint replacement costs

Sahuarita, AZ 85629 · CMS Certification Number 030148. 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
Rincon ASC, LLC, 21.8 mi
Outpatient here
$12,634
Medicare allowed amount, 62 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Northwest Medical Center Sahuarita

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,634
Shoulder replacement———$18,131
Hip replacement after a fracture (DRG 522)$18,073$131,8157.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,531—$20,866–$27,6636
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS AZ$27,663—1
NODE Fusion Network$27,375—1
Cigna$25,108—1
NODE US Dept of Labor$21,954—1
UnitedHealthcare$21,756—1
Aetna$20,866—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: 4.2% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 18 beds

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

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Questions

How much does Medicare pay Northwest Medical Center Sahuarita for a knee or hip replacement?

The Medicare allowed amount averaged $12,634 per outpatient hip or knee replacement case (APC 5115, 62 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Northwest Medical Center Sahuarita?

Yes for Medicare facility payments. Rincon ASC, LLC, an orthopedic surgery center 21.8 mi away, is paid about $8,393 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Northwest Medical Center Sahuarita 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 $23,531 across 6 insurers, ranging from $20,866 to $27,663.