Chicago, IL 60612 · CMS Certification Number 140119. 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 | $24,139 | $73,066 | 3.0× | $12,678 |
| Shoulder replacement | $30,305 | $86,902 | 2.9× | $17,542 |
| Hip replacement after a fracture (DRG 522) | $30,945 | $90,176 | 2.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,538 | 1.2× | $20,012–$35,817 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $35,817 | 1.5× | 1 |
| UnitedHealthcare | $31,053 | 1.3× | 1 |
| BCBS IL | $28,023 | 1.2× | 1 |
| Cigna | $20,012 | 0.8× | 1 |
From the hospital's price-transparency file (2026-09-25); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-25); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 727 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Rush University Medical Center for an inpatient hip or knee replacement stay was $24,139 (MS-DRG 470, 100 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,678 per outpatient case (APC 5115, 538 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,066, 3.0× 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. Rush Surgicenter Inc, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $14,901 less than an inpatient stay at Rush University Medical Center. Not every patient is a surgery-center candidate.
Rush University Medical Center's average total payment per Medicare stay is higher than 96% 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 $29,538 across 4 insurers, ranging from $20,012 to $35,817.