Peoria, IL 61614 · CMS Certification Number 140013. 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 | $13,162 | $95,430 | 7.3× | $12,022 |
| Shoulder replacement | $17,308 | $136,855 | 7.9× | $17,185 |
| Hip replacement after a fracture (DRG 522) | $14,407 | $83,720 | 5.8× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 305 beds
Illinois requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Illinois hospitals
In 2024 Medicare paid Carle Health Proctor Hospital an average of $13,162 per inpatient hip or knee replacement stay (MS-DRG 470, 30 stays) and $12,022 per outpatient case (APC 5115, 662 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,430, 7.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Springfield Clinic Peoria ASC, an orthopedic surgery center same ZIP away, is paid about $8,266 by Medicare for a knee replacement (CPT 27447), $4,896 less than an inpatient stay at Carle Health Proctor Hospital. Not every patient is a surgery-center candidate.
Medicare paid Carle Health Proctor Hospital less than 98% of the 45 Illinois hospitals that report inpatient hip or knee replacement.