Peoria, IL 61637 · CMS Certification Number 140067. 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 | $18,174 | $93,721 | 5.2× | $12,061 |
| Shoulder replacement | $20,989 | $98,003 | 4.7× | $17,185 |
| Hip replacement after a fracture (DRG 522) | $18,945 | $96,246 | 5.1× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 730 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Saint Francis Medical Center an average of $18,174 per inpatient hip or knee replacement stay (MS-DRG 470, 54 stays) and $12,061 per outpatient case (APC 5115, 244 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $93,721, 5.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Springfield Clinic Peoria ASC, an orthopedic surgery center 4.0 mi away, is paid about $8,266 by Medicare for a knee replacement (CPT 27447), $9,908 less than an inpatient stay at Saint Francis Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Saint Francis Medical Center more than 82% of the 45 Illinois hospitals that report inpatient hip or knee replacement.