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University of Illinois Hospital and Clinics: what a joint replacement costs

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.

Surgery center nearby
$9,238
Rush Surgicenter Inc, same ZIP
Outpatient here
$12,471
Medicare allowed amount, 36 cases, APC 5115
Inpatient here
$32,599
Avg total payment (incl. patient share), 21 Medicare stays, MS-DRG 470

Medicare prices at University of Illinois Hospital and Clinics

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$32,599$114,4983.5×$12,471
Shoulder replacement————

Quality

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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Questions

How much does Medicare pay University of Illinois Hospital and Clinics for a knee or hip replacement?

In 2024 the average total payment to University of Illinois Hospital and Clinics for an inpatient hip or knee replacement stay was $32,599 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,471 per outpatient case (APC 5115, 36 cases).

What is University of Illinois Hospital and Clinics's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $114,498, 3.5× 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 University of Illinois Hospital and Clinics?

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.

How does University of Illinois Hospital and Clinics compare with other Illinois hospitals?

University of Illinois Hospital and Clinics's average total payment per Medicare stay is higher than 100% of the 45 Illinois hospitals that report inpatient hip or knee replacement.