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Advocate 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.

Surgery center nearby
$9,176
Orthoillinois Surgery Center Elgin, LLC, 4.8 mi
Outpatient here
$12,837
111 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Advocate Sherman Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$12,837
Shoulder replacement———$17,630
Hip replacement after a fracture (DRG 522)$16,106$88,5385.5×—

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?

Medicare allowed an average of $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.