Lake Forest, IL 60045 · CMS Certification Number 140130. 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 | $15,525 | $136,692 | 8.8× | $12,402 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,821 | $144,057 | 8.1× | — |
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 222 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Northwestern Lake Forest Hospital an average of $15,525 per inpatient hip or knee replacement stay (MS-DRG 470, 32 stays) and $12,402 per outpatient case (APC 5115, 176 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $136,692, 8.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hawthorn Surgery Center, an orthopedic surgery center 4.8 mi away, is paid about $8,988 by Medicare for a knee replacement (CPT 27447), $6,537 less than an inpatient stay at Northwestern Lake Forest Hospital. Not every patient is a surgery-center candidate.
Medicare paid Northwestern Lake Forest Hospital more than 60% of the 45 Illinois hospitals that report inpatient hip or knee replacement.