Price AtlasInteractive atlas · All states · techysurgeon.comAdvocate Sherman Hospital: what a joint replacement costs
Elgin, IL 60123 · CMS Certification Number 140030. 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.
Medicare prices at Advocate Sherman Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,837 |
| Shoulder replacement | — | — | — | $17,630 |
| Hip replacement after a fracture (DRG 522) | $16,106 | $88,538 | 5.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,249 | — | $18,497–$30,888 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $30,888 | — | 1 |
| Aetna | $24,834 | — | 1 |
| BCBS IL | $21,664 | — | 1 |
| UnitedHealthcare | $18,497 | — | 1 |
| Private Healthcare Systems (rental network) | $16,781 | — | 1 |
From the hospital's price-transparency file (2025-11-04); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-11-04); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 255 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Advocate Sherman Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $12,837 per outpatient hip or knee replacement case (APC 5115, 111 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Advocate Sherman Hospital?
Yes for Medicare facility payments. Orthoillinois Surgery Center Elgin, LLC, an orthopedic surgery center 4.8 mi away, is paid about $9,176 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Advocate Sherman Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,249 across 4 insurers, ranging from $18,497 to $30,888.