CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Banner-University Medical Center South Campus

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,147
about 1.4× the $14,044 Medicare rate · typically $16,446–$23,168
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,800
About the fair price
about $347 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $20,147 This hospital $19,800 Cash price $21,581

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 $19,800

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 $20,147 (about 1.4× the $14,044 Medicare rate). Banner-University Medical Center South Campus charges insurers about $19,800, or about $21,581 in cash — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $18,000 - $32,979 128%
Blue Cross Blue Shieldmajor $18,000 - $36,256 128%
Aetnamajor $18,000 - $47,780 128%
Cignamajor $34,484 246%
Humanamajor $18,540 132%
Kaiser Permanentemajor $18,000 128%
Banner Health $18,000 128%
Devoted Health $18,900 135%
Health Net $18,000 - $26,640 128%
Oscar Health $29,700 211%
UPMC Health Plan $18,000 128%
+ 8 smaller / regional plans $18,000 - $27,000
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2800 East Ajo Way, Tucson, AZ 85713
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals