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Good Samaritan Regional Hlth Center: what a joint replacement costs

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.

Surgery center nearby
$8,291
Good Samaritan Surgery Center, same ZIP
Outpatient here
—
Under 11 cases
Inpatient here
$15,104
Avg total payment (incl. patient share), 122 Medicare stays, MS-DRG 470

Medicare prices at Good Samaritan Regional Hlth Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,104$79,2685.2×—
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$17,237$77,8334.5×—

Quality

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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Questions

How much does Medicare pay Good Samaritan Regional Hlth Center for a knee or hip replacement?

In 2024 the average total payment to Good Samaritan Regional Hlth Center for an inpatient hip or knee replacement stay was $15,104 (MS-DRG 470, 122 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).

What is Good Samaritan Regional Hlth Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,268, 5.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Good Samaritan Regional Hlth Center?

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.

How does Good Samaritan Regional Hlth Center compare with other Illinois hospitals?

Good Samaritan Regional Hlth Center's average total payment per Medicare stay is higher than 51% of the 45 Illinois hospitals that report inpatient hip or knee replacement.