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Northshore University Healthsystem Evanston Hosp: what a joint replacement costs

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.

Surgery center nearby
$9,238
North Shore Surgical Center, 4.0 mi
Outpatient here
$12,119
1343 Medicare cases, APC 5115
Inpatient here
$16,169
366 Medicare stays, MS-DRG 470

Medicare prices at Northshore University Healthsystem Evanston Hosp

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,169$67,0894.1×$12,119
Shoulder replacement$21,476$116,9885.4×$17,289
Hip replacement after a fracture (DRG 522)$18,209$69,3743.8×—

Quality

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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Questions

How much does Medicare pay Northshore University Healthsystem Evanston Hosp for a knee or hip replacement?

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).

What is Northshore University Healthsystem Evanston Hosp's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Northshore University Healthsystem Evanston Hosp?

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.

How does Northshore University Healthsystem Evanston Hosp compare with other Illinois hospitals?

Medicare paid Northshore University Healthsystem Evanston Hosp more than 69% of the 45 Illinois hospitals that report inpatient hip or knee replacement.