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Arizona: one knee, three prices

What Medicare pays Arizona hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,972
Median Medicare knee rate, 64 orthopedic surgery centers
Hospital, same day
$12,757
Median Medicare allowed amount
Hospital, overnight
$14,650
Median avg total payment (incl. patient share), 29 hospitals

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

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
O.A.S.I.S. HospitalPhoenix$13,226$77,879$12,765
The Core Institute Specialty HospitalPhoenix$13,432$81,948$12,603
Arizona Specialty HospitalPhoenix$13,457$84,421$12,790
Arizona Spine and Joint HospitalMesa$13,624$87,188$12,651
Honorhealth Scottsdale Shea Medical CenterScottsdale$13,775$131,982$12,686
Banner Baywood Medical CenterMesa$13,793$73,247$12,717
Oro Valley HospitalOro Valley$13,814$131,518$12,683
Honorhealth Sonoran Crossing Medical CenterPhoenix$13,993$131,817$12,726
Banner del E. Webb Medical CenterSun City West$14,100$92,634$12,692
Western Arizona Regional Medical CenterBullhead City$14,260$285,273$12,814

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Flagstaff Medical CenterFlagstaff$25,567$53,349$13,453
Mayo Clinic HospitalPhoenix$22,688$74,953$12,668
Summit Healthcare Regional Medical CenterShow Low$19,123$97,582$13,634
Canyon Vista Medical CenterSierra Vista$18,538$138,180$13,625
Honorhealth Mountain Vista Medical CenterMesa$17,435$103,602$12,569
Honorhealth Tempe Medical CenterTempe$17,157$88,613$12,583
Yavapai Regional Medical CenterPrescott$16,142$74,674$13,604
Abrazo Arrowhead CampusGlendale$16,068$211,131$12,814
Honorhealth Scottsdale Thompson Peak Med CtrScottsdale$16,009$126,955$12,686
Tucson Medical CenterTucson$15,235$44,196$12,655

Every Arizona hospital (49)

Orthopedic surgery centers (64)

Questions

How much does Medicare pay for a knee replacement in Arizona?

In 2024 the median average total payment to Arizona hospitals was $14,650 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 29 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $12,757 per outpatient case. An orthopedic surgery center is paid about $8,972 for a knee.

Which Arizona hospitals have the lowest Medicare payment for a joint replacement?

O.A.S.I.S. Hospital ($13,226), The Core Institute Specialty Hospital ($13,432), Arizona Specialty Hospital ($13,457) (average total payment per inpatient stay, patient share included).

What do Arizona hospitals list for a joint replacement?

The median list (chargemaster) price is $117,497, about 8.0× the median average total payment for a Medicare stay.

Does Arizona have a certificate-of-need law?

Arizona has a certificate-of-need program that does not cover surgery centers. No facility CON; only a certificate of necessity for ground ambulance services remains.