Quincy, IL 62301 · CMS Certification Number 140015. 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 | $14,808 | $117,578 | 7.9× | $13,006 |
| Shoulder replacement | $19,433 | $150,808 | 7.8× | $18,403 |
| Hip replacement after a fracture (DRG 522) | $17,100 | $131,285 | 7.7× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 312 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Blessing Hospital an average of $14,808 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $13,006 per outpatient case (APC 5115, 289 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $117,578, 7.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Quincy Medical Group Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,291 by Medicare for a knee replacement (CPT 27447), $6,517 less than an inpatient stay at Blessing Hospital. Not every patient is a surgery-center candidate.
Medicare paid Blessing Hospital less than 56% of the 45 Illinois hospitals that report inpatient hip or knee replacement.