Price AtlasInteractive atlas · All states · techysurgeon.comNorthshore 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.
Medicare prices at Northshore University Healthsystem Evanston Hosp
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,318 | 1.6× | $24,979–$31,461 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $31,461 | 1.9× | 1 |
| BCBS IL | $26,318 | 1.6× | 1 |
| Aetna | $24,979 | 1.5× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Northshore University Healthsystem Evanston Hosp for an inpatient hip or knee replacement stay was $16,169 (MS-DRG 470, 366 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Northshore University Healthsystem Evanston Hosp's average total payment per Medicare stay is higher than 69% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Northshore University Healthsystem Evanston Hosp for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $26,318 across 3 insurers, ranging from $24,979 to $31,461.