Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

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
Medicare allowed amount, 538 cases, APC 5115
Inpatient here
$24,139
Avg total payment (incl. patient share), 100 Medicare stays, MS-DRG 470

Medicare prices at Rush University Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$29,5381.2×$20,012–$35,8174
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$35,8171.5×1
UnitedHealthcare$31,0531.3×1
BCBS IL$28,0231.2×1
Cigna$20,0120.8×1

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.

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.

Open the interactive price tagBuild a reportAll Illinois hospitals

Questions

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

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).

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× 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 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?

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.

What do commercial insurers pay Rush University Medical Center 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 $29,538 across 4 insurers, ranging from $20,012 to $35,817.