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Presence Saints Mary and Elizabeth Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,238
Rush Surgicenter Inc, 1.5 mi
Outpatient here
$12,103
Medicare allowed amount, 29 cases, APC 5115
Inpatient here
$17,301
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Presence Saints Mary and Elizabeth Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,301$88,9185.1×$12,103
Shoulder replacement————

Quality

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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Questions

How much does Medicare pay Presence Saints Mary and Elizabeth Medical Center for a knee or hip replacement?

In 2024 the average total payment to Presence Saints Mary and Elizabeth Medical Center for an inpatient hip or knee replacement stay was $17,301 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,103 per outpatient case (APC 5115, 29 cases).

What is Presence Saints Mary and Elizabeth Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $88,918, 5.1× the average total payment for a Medicare stay. 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 Saints Mary and Elizabeth Medical Center?

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.

How does Presence Saints Mary and Elizabeth Medical Center compare with other Illinois hospitals?

Presence Saints Mary and Elizabeth Medical Center's average total payment per Medicare stay is higher than 78% of the 45 Illinois hospitals that report inpatient hip or knee replacement.