Aurora, IL 60504 · CMS Certification Number 140029. 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 | $15,149 | $85,250 | 5.6× | $12,823 |
| Shoulder replacement | $26,390 | $116,184 | 4.4× | $17,653 |
| Hip replacement after a fracture (DRG 522) | $15,981 | $95,248 | 6.0× | — |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 210 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Rush Copley Medical Center an average of $15,149 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $12,823 per outpatient case (APC 5115, 175 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $85,250, 5.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Castle Surgicenter, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $5,911 less than an inpatient stay at Rush Copley Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Rush Copley Medical Center more than 53% of the 45 Illinois hospitals that report inpatient hip or knee replacement.