Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Northwestern Medicine McHenry Hospital: what a joint replacement costs

McHenry, IL 60050 · CMS Certification Number 140116. 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
$9,238
Algonquin Road Surgery Center LLC, 8.9 mi
Outpatient here
$12,392
383 Medicare cases, APC 5115
Inpatient here
$16,596
36 Medicare stays, MS-DRG 470

Medicare prices at Northwestern Medicine McHenry Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,596$88,2705.3×$12,392
Shoulder replacement———$15,651
Hip replacement after a fracture (DRG 522)$17,676$98,1575.6×—

Quality

Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 177 beds

Illinois requires a certificate of need for new surgery centers.

Open the interactive price tagBuild a reportAll Illinois hospitals

Questions

How much does Medicare pay Northwestern Medicine McHenry Hospital for a knee or hip replacement?

In 2024 Medicare paid Northwestern Medicine McHenry Hospital an average of $16,596 per inpatient hip or knee replacement stay (MS-DRG 470, 36 stays) and $12,392 per outpatient case (APC 5115, 383 cases).

What is Northwestern Medicine McHenry Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $88,270, 5.3× 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 Northwestern Medicine McHenry Hospital?

Yes for Medicare facility payments. Algonquin Road Surgery Center LLC, an orthopedic surgery center 8.9 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $7,358 less than an inpatient stay at Northwestern Medicine McHenry Hospital. Not every patient is a surgery-center candidate.

How does Northwestern Medicine McHenry Hospital compare with other Illinois hospitals?

Medicare paid Northwestern Medicine McHenry Hospital more than 73% of the 45 Illinois hospitals that report inpatient hip or knee replacement.