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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,333 | $91,814 | 5.6× | $12,035 |
| Shoulder replacement | — | — | — | $17,654 |
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 Medicare paid Advocate Trinity Hospital an average of $16,333 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $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× what Medicare paid. 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.
Medicare paid Advocate Trinity Hospital more than 71% of the 45 Illinois hospitals that report inpatient hip or knee replacement.