Price AtlasInteractive atlas · All states · techysurgeon.comSt Marys Hospital: what a joint replacement costs
Decatur, IL 62521 · CMS Certification Number 140166. 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.
Medicare prices at St Marys Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,849 |
| Shoulder replacement | — | — | — | $16,489 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,818 | — | $24,214–$29,423 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $29,423 | — | 1 |
| Friday Health Plan | $24,214 | — | 1 |
From the hospital's price-transparency file (2025-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-01-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 355 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay St Marys Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $11,849 per outpatient hip or knee replacement case (APC 5115, 106 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay St Marys Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $26,818 across 2 insurers, ranging from $24,214 to $29,423.