Chicago, IL 60612 · CMS Certification Number 140150. 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 | $32,599 | $114,498 | 3.5× | $12,471 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 7.4%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 507 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid University of Illinois Hospital and Clinics an average of $32,599 per inpatient hip or knee replacement stay (MS-DRG 470, 21 stays) and $12,471 per outpatient case (APC 5115, 36 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $114,498, 3.5× 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), $23,361 less than an inpatient stay at University of Illinois Hospital and Clinics. Not every patient is a surgery-center candidate.
Medicare paid University of Illinois Hospital and Clinics more than 100% of the 45 Illinois hospitals that report inpatient hip or knee replacement.