Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Herrin Hospital: what a joint replacement costs

Herrin, IL 62948 · CMS Certification Number 140011. 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
$8,209
Southern Illinois Orthopedic LLC, same ZIP
Outpatient here
$11,972
121 Medicare cases, APC 5115
Inpatient here
$26,310
13 Medicare stays, MS-DRG 470

Medicare prices at Herrin Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$26,310$98,7213.8×$11,972
Shoulder replacement———$17,185
Hip replacement after a fracture (DRG 522)$15,034$90,6806.0×—

Quality

Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 104 beds

Illinois requires a certificate of need for new surgery centers.

Open the interactive price tagBuild a reportAll Illinois hospitals

Questions

How much does Medicare pay Herrin Hospital for a knee or hip replacement?

In 2024 Medicare paid Herrin Hospital an average of $26,310 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,972 per outpatient case (APC 5115, 121 cases).

What is Herrin Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $98,721, 3.8× 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 Herrin Hospital?

Yes for Medicare facility payments. Southern Illinois Orthopedic LLC, an orthopedic surgery center same ZIP away, is paid about $8,209 by Medicare for a knee replacement (CPT 27447), $18,101 less than an inpatient stay at Herrin Hospital. Not every patient is a surgery-center candidate.

How does Herrin Hospital compare with other Illinois hospitals?

Medicare paid Herrin Hospital more than 98% of the 45 Illinois hospitals that report inpatient hip or knee replacement.