Alton, IL 62002 · CMS Certification Number 140002. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,616 | $64,101 | 4.4× | $12,002 |
| Shoulder replacement | — | — | — | $17,185 |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 222 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Alton Memorial Hospital an average of $14,616 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $12,002 per outpatient case (APC 5115, 202 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,101, 4.4× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Anderson Surgery Center LLC, an orthopedic surgery center 13.3 mi away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $5,816 less than an inpatient stay at Alton Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Alton Memorial Hospital less than 64% of the 45 Illinois hospitals that report inpatient hip or knee replacement.