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Presence St Marys Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,662
Riverside Ambulatory Surgery Center, 5.5 mi
Outpatient here
$12,236
173 Medicare cases, APC 5115
Inpatient here
$14,404
17 Medicare stays, MS-DRG 470

Medicare prices at Presence St Marys Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,404$114,2197.9×$12,236
Shoulder replacement———$17,488

Quality

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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Questions

How much does Medicare pay Presence St Marys Hospital for a knee or hip replacement?

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).

What is Presence St Marys Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Presence St Marys Hospital?

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.

How does Presence St Marys Hospital compare with other Illinois hospitals?

Medicare paid Presence St Marys Hospital less than 71% of the 45 Illinois hospitals that report inpatient hip or knee replacement.