Price AtlasInteractive atlas · All states · techysurgeon.comPresence Saint Francis Hospital: what a joint replacement costs
Evanston, IL 60202 · CMS Certification Number 140080. 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.
Medicare prices at Presence Saint Francis Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,112 | $120,105 | 6.3× | $12,781 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,631 | 1.0× | $16,599–$30,688 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Clifton Health Systems | $30,688 | 1.6× | 1 |
| Access Community Health Network | $23,759 | 1.2× | 1 |
| BCBS IL | $19,631 | 1.0× | 1 |
| Humana | $18,136 | 0.9× | 1 |
| Cigna | $16,599 | 0.9× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 427 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Presence Saint Francis Hospital for a knee or hip replacement?
In 2024 the average total payment to Presence Saint Francis Hospital for an inpatient hip or knee replacement stay was $19,112 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,781 per outpatient case (APC 5115, 15 cases).
What is Presence Saint Francis Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $120,105, 6.3× the average total payment for a Medicare stay. 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 Presence Saint Francis Hospital?
Yes for Medicare facility payments. North Shore Surgical Center, an orthopedic surgery center 2.9 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $9,874 less than an inpatient stay at Presence Saint Francis Hospital. Not every patient is a surgery-center candidate.
How does Presence Saint Francis Hospital compare with other Illinois hospitals?
Presence Saint Francis Hospital's average total payment per Medicare stay is higher than 84% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Presence Saint Francis Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $19,631 across 5 insurers, ranging from $16,599 to $30,688.