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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $26,310 | $98,721 | 3.8× | $11,972 |
| Shoulder replacement | — | — | — | $17,185 |
| Hip replacement after a fracture (DRG 522) | $15,034 | $90,680 | 6.0× | — |
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
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).
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.
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.
Medicare paid Herrin Hospital more than 98% of the 45 Illinois hospitals that report inpatient hip or knee replacement.