Kankakee, IL 60901 · CMS Certification Number 140155. 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 | $14,404 | $114,219 | 7.9× | $12,236 |
| Shoulder replacement | — | — | — | $17,488 |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 182 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Presence St Marys Hospital an average of $14,404 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $12,236 per outpatient case (APC 5115, 173 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $114,219, 7.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Riverside Ambulatory Surgery Center, an orthopedic surgery center 5.5 mi away, is paid about $8,662 by Medicare for a knee replacement (CPT 27447), $5,742 less than an inpatient stay at Presence St Marys Hospital. Not every patient is a surgery-center candidate.
Medicare paid Presence St Marys Hospital less than 71% of the 45 Illinois hospitals that report inpatient hip or knee replacement.