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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,333 | $91,814 | 5.6× | $12,035 |
| Shoulder replacement | — | — | — | $17,654 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,826 | 1.9× | $21,851–$33,673 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS IL | $33,673 | 2.1× | 1 |
| Cigna | $30,888 | 1.9× | 1 |
| Aetna | $30,764 | 1.9× | 1 |
| UnitedHealthcare | $21,851 | 1.3× | 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.
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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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).
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.
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.
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.
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.