Normal, IL 61761 · CMS Certification Number 140127. 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 | $13,773 | $49,177 | 3.6× | $11,858 |
| Shoulder replacement | — | — | — | $17,185 |
| Hip replacement after a fracture (DRG 522) | $15,361 | $56,358 | 3.7× | — |
Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 7.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 176 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Carle Bromenn Medical Center an average of $13,773 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,858 per outpatient case (APC 5115, 213 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,177, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Bloomington-Normal Healthcare Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,405 by Medicare for a knee replacement (CPT 27447), $5,368 less than an inpatient stay at Carle Bromenn Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Carle Bromenn Medical Center less than 84% of the 45 Illinois hospitals that report inpatient hip or knee replacement.