Chicago, IL 60622 · CMS Certification Number 140180. 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 | $17,301 | $88,918 | 5.1× | $12,103 |
| Shoulder replacement | — | — | — | — |
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 493 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Presence Saints Mary and Elizabeth Medical Center an average of $17,301 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $12,103 per outpatient case (APC 5115, 29 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $88,918, 5.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Rush Surgicenter Inc, an orthopedic surgery center 1.5 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $8,063 less than an inpatient stay at Presence Saints Mary and Elizabeth Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Presence Saints Mary and Elizabeth Medical Center more than 78% of the 45 Illinois hospitals that report inpatient hip or knee replacement.