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Rush University Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,238
Rush Surgicenter Inc, same ZIP
Outpatient here
$12,678
538 Medicare cases, APC 5115
Inpatient here
$24,139
100 Medicare stays, MS-DRG 470

Medicare prices at Rush University Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$24,139$73,0663.0×$12,678
Shoulder replacement$30,305$86,9022.9×$17,542
Hip replacement after a fracture (DRG 522)$30,945$90,1762.9×—

Quality

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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Questions

How much does Medicare pay Rush University Medical Center for a knee or hip replacement?

In 2024 Medicare paid Rush University Medical Center an average of $24,139 per inpatient hip or knee replacement stay (MS-DRG 470, 100 stays) and $12,678 per outpatient case (APC 5115, 538 cases).

What is Rush University Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,066, 3.0× 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 Rush University Medical Center?

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.

How does Rush University Medical Center compare with other Illinois hospitals?

Medicare paid Rush University Medical Center more than 96% of the 45 Illinois hospitals that report inpatient hip or knee replacement.