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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,508 | $68,995 | 4.8× | $12,387 |
| Shoulder replacement | — | — | — | $17,654 |
| Hip replacement after a fracture (DRG 522) | $16,028 | $69,431 | 4.3× | — |
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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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).
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.
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.
Medicare paid Uchicago Medicine Adventhealth La Grange less than 67% of the 45 Illinois hospitals that report inpatient hip or knee replacement.