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Palos Community Hospital: what a joint replacement costs

Palos Heights, IL 60463 · CMS Certification Number 140062. 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
Centerpoint Surgical, same ZIP
Outpatient here
$12,333
75 Medicare cases, APC 5115
Inpatient here
$14,480
44 Medicare stays, MS-DRG 470

Medicare prices at Palos Community Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,480$82,8315.7×$12,333
Shoulder replacement$17,155$113,9406.6×$17,654
Hip replacement after a fracture (DRG 522)$17,241$91,0225.3×—

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 436 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Palos Community Hospital for a knee or hip replacement?

In 2024 Medicare paid Palos Community Hospital an average of $14,480 per inpatient hip or knee replacement stay (MS-DRG 470, 44 stays) and $12,333 per outpatient case (APC 5115, 75 cases).

What is Palos Community Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,831, 5.7× 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 Palos Community Hospital?

Yes for Medicare facility payments. Centerpoint Surgical, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $5,242 less than an inpatient stay at Palos Community Hospital. Not every patient is a surgery-center candidate.

How does Palos Community Hospital compare with other Illinois hospitals?

Medicare paid Palos Community Hospital less than 69% of the 45 Illinois hospitals that report inpatient hip or knee replacement.