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Heartland Regional Medical Center: what a joint replacement costs

Marion, IL 62959 · CMS Certification Number 140184. 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
$8,209
Marion Healthcare Surgery Center, same ZIP
Outpatient here
$12,146
Medicare allowed amount, 37 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Heartland Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,146
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$27,474—$15,065–$42,9346
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Alter-Net Medical Services$42,934—1
Hope Trust$42,934—1
BCBS IL$30,091—1
Alliance Coal$24,857—1
Humana$15,818—1
Umwa$15,065—1

From the hospital's price-transparency file (2026-02-03); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-02-03); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 92 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Heartland Regional Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $12,146 per outpatient hip or knee replacement case (APC 5115, 37 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Heartland Regional Medical Center?

Yes for Medicare facility payments. Marion Healthcare Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,209 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Heartland Regional 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 $27,474 across 6 insurers, ranging from $15,065 to $42,934.