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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 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).
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.
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.
Medicare paid Rush University Medical Center more than 96% of the 45 Illinois hospitals that report inpatient hip or knee replacement.