Evanston, IL 60201 · CMS Certification Number 140010. 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 | $16,169 | $67,089 | 4.1× | $12,119 |
| Shoulder replacement | $21,476 | $116,988 | 5.4× | $17,289 |
| Hip replacement after a fracture (DRG 522) | $18,209 | $69,374 | 3.8× | — |
Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 466 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Northshore University Healthsystem Evanston Hosp an average of $16,169 per inpatient hip or knee replacement stay (MS-DRG 470, 366 stays) and $12,119 per outpatient case (APC 5115, 1343 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,089, 4.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Shore Surgical Center, an orthopedic surgery center 4.0 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $6,931 less than an inpatient stay at Northshore University Healthsystem Evanston Hosp. Not every patient is a surgery-center candidate.
Medicare paid Northshore University Healthsystem Evanston Hosp more than 69% of the 45 Illinois hospitals that report inpatient hip or knee replacement.