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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,480 | $82,831 | 5.7× | $12,333 |
| Shoulder replacement | $17,155 | $113,940 | 6.6× | $17,654 |
| Hip replacement after a fracture (DRG 522) | $17,241 | $91,022 | 5.3× | — |
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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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).
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.
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.
Medicare paid Palos Community Hospital less than 69% of the 45 Illinois hospitals that report inpatient hip or knee replacement.