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Saint Francis Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,266
Springfield Clinic Peoria ASC, 4.0 mi
Outpatient here
$12,061
244 Medicare cases, APC 5115
Inpatient here
$18,174
54 Medicare stays, MS-DRG 470

Medicare prices at Saint Francis Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$18,174$93,7215.2×$12,061
Shoulder replacement$20,989$98,0034.7×$17,185
Hip replacement after a fracture (DRG 522)$18,945$96,2465.1×—

Quality

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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Questions

How much does Medicare pay Saint Francis Medical Center for a knee or hip replacement?

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).

What is Saint Francis Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Saint Francis Medical Center?

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.

How does Saint Francis Medical Center compare with other Illinois hospitals?

Medicare paid Saint Francis Medical Center more than 82% of the 45 Illinois hospitals that report inpatient hip or knee replacement.