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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
98 Medicare cases, APC 5115
Inpatient here
$16,333
11 Medicare stays, MS-DRG 470

Medicare prices at Advocate Trinity Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,333$91,8145.6×$12,035
Shoulder replacement———$17,654

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 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).

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× what Medicare paid. 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?

Medicare paid Advocate Trinity Hospital more than 71% of the 45 Illinois hospitals that report inpatient hip or knee replacement.