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Uchicago Medicine Adventhealth La Grange: what a joint replacement costs

La Grange, IL 60525 · CMS Certification Number 140065. 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
Hinsdale Surgical Center Inc, 3.4 mi
Outpatient here
$12,387
1081 Medicare cases, APC 5115
Inpatient here
$14,508
46 Medicare stays, MS-DRG 470

Medicare prices at Uchicago Medicine Adventhealth La Grange

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,508$68,9954.8×$12,387
Shoulder replacement———$17,654
Hip replacement after a fracture (DRG 522)$16,028$69,4314.3×—

Quality

Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 223 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Uchicago Medicine Adventhealth La Grange for a knee or hip replacement?

In 2024 Medicare paid Uchicago Medicine Adventhealth La Grange an average of $14,508 per inpatient hip or knee replacement stay (MS-DRG 470, 46 stays) and $12,387 per outpatient case (APC 5115, 1081 cases).

What is Uchicago Medicine Adventhealth La Grange's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,995, 4.8× 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 Uchicago Medicine Adventhealth La Grange?

Yes for Medicare facility payments. Hinsdale Surgical Center Inc, an orthopedic surgery center 3.4 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $5,270 less than an inpatient stay at Uchicago Medicine Adventhealth La Grange. Not every patient is a surgery-center candidate.

How does Uchicago Medicine Adventhealth La Grange compare with other Illinois hospitals?

Medicare paid Uchicago Medicine Adventhealth La Grange less than 67% of the 45 Illinois hospitals that report inpatient hip or knee replacement.