Mount Vernon, IL 62864 · CMS Certification Number 140046. 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 | $15,104 | $79,268 | 5.2× | — |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,237 | $77,833 | 4.5× | — |
Complications after hip or knee replacement: 2.2% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 175 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Good Samaritan Regional Hlth Center an average of $15,104 per inpatient hip or knee replacement stay (MS-DRG 470, 122 stays).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,268, 5.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Good Samaritan Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,291 by Medicare for a knee replacement (CPT 27447), $6,813 less than an inpatient stay at Good Samaritan Regional Hlth Center. Not every patient is a surgery-center candidate.
Medicare paid Good Samaritan Regional Hlth Center more than 51% of the 45 Illinois hospitals that report inpatient hip or knee replacement.