Price AtlasInteractive atlas · All states · techysurgeon.comPresence Mercy Medical Center: what a joint replacement costs
Aurora, IL 60506 · CMS Certification Number 140174. 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 Presence Mercy Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,487 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,885 | — | $16,599–$20,299 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS IL | $20,299 | — | 1 |
| Access Community Health Network | $19,706 | — | 1 |
| Humana | $18,064 | — | 1 |
| Cigna | $16,599 | — | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 315 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Presence Mercy Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $12,487 per outpatient hip or knee replacement case (APC 5115, 32 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Presence Mercy Medical Center?
Yes for Medicare facility payments. Dreyer Ambulatory Surgery Cent, an orthopedic surgery center same ZIP away, is paid about $9,176 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Presence Mercy Medical Center 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 $18,885 across 4 insurers, ranging from $16,599 to $20,299.