CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St. Mary's Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,824
about 1.4× the $14,044 Medicare rate · typically $16,077–$23,969
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,779
About the fair price
about $1,955 over the fair price · 1.6× Medicare
Medicare pays $14,044 Fair price $19,824 This hospital $21,779

How we calculate the fair BaseRate →

How this hospital compares to other AZ hospitals

Highest price of the 9 AZ hospitals we have prices for — worth calling around.

Cheapest $13,152 Priciest $21,779

Black dot = this hospital, among the 9 AZ hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,824 (about 1.4× the $14,044 Medicare rate). St. Mary's Hospital charges insurers about $21,779 — about the fair price. Located in Tucson, AZ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20,934 - $44,237 149%
Humanamajor $18,970 135%
Ambetter (Centene) $16,134 115%

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Facility Profile & Credentials

  • Address: 1601 West St Mary's Road, Tucson, AZ 85745
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals