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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,618 | 1.4× | $16,288–$26,593 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| MultiPlan/PHCS (rental network) | $27,702 | 1.9× | 1 |
| Humana | $26,593 | 1.8× | 1 |
| Aetna | $20,722 | 1.4× | 1 |
| Cigna | $18,514 | 1.3× | 1 |
| BCBS IL | $16,288 | 1.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Uchicago Medicine Adventhealth La Grange for an inpatient hip or knee replacement stay was $14,508 (MS-DRG 470, 46 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Uchicago Medicine Adventhealth La Grange's average total payment per Medicare stay is lower than 67% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $19,618 across 4 insurers, ranging from $16,288 to $26,593.