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Advocate Trinity Hospital: what a joint replacement costs

Chicago, IL 60617 · CMS Certification Number 140048. 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
$9,238
Hyde Park Surgical Center, LLC, 6.5 mi
Outpatient here
$12,035
Medicare allowed amount, 98 cases, APC 5115
Inpatient here
$16,333
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Advocate Trinity Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,333$91,8145.6×$12,035
Shoulder replacement———$17,654

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$30,8261.9×$21,851–$33,6734
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS IL$33,6732.1×1
Cigna$30,8881.9×1
Aetna$30,7641.9×1
UnitedHealthcare$21,8511.3×1

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: 3.8% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 263 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Advocate Trinity Hospital for a knee or hip replacement?

In 2024 the average total payment to Advocate Trinity Hospital for an inpatient hip or knee replacement stay was $16,333 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,035 per outpatient case (APC 5115, 98 cases).

What is Advocate Trinity Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $91,814, 5.6× 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 Advocate Trinity Hospital?

Yes for Medicare facility payments. Hyde Park Surgical Center, LLC, an orthopedic surgery center 6.5 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $7,095 less than an inpatient stay at Advocate Trinity Hospital. Not every patient is a surgery-center candidate.

How does Advocate Trinity Hospital compare with other Illinois hospitals?

Advocate Trinity Hospital's average total payment per Medicare stay is higher than 71% of the 45 Illinois hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Advocate Trinity 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 $30,826 across 4 insurers, ranging from $21,851 to $33,673.