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Carle Bromenn Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,405
Bloomington-Normal Healthcare Surgery Center, same ZIP
Outpatient here
$11,858
213 Medicare cases, APC 5115
Inpatient here
$13,773
19 Medicare stays, MS-DRG 470

Medicare prices at Carle Bromenn Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,773$49,1773.6×$11,858
Shoulder replacement———$17,185
Hip replacement after a fracture (DRG 522)$15,361$56,3583.7×—

Quality

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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Questions

How much does Medicare pay Carle Bromenn Medical Center for a knee or hip replacement?

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).

What is Carle Bromenn Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Carle Bromenn Medical Center?

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.

How does Carle Bromenn Medical Center compare with other Illinois hospitals?

Medicare paid Carle Bromenn Medical Center less than 84% of the 45 Illinois hospitals that report inpatient hip or knee replacement.