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Memorial Hospital: what a joint replacement costs

Belleville, IL 62226 · CMS Certification Number 140185. 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
$8,800
Edwardsville Ambulatory Surg Ctr LLC, 15.1 mi
Outpatient here
$12,098
Medicare allowed amount, 217 cases, APC 5115
Inpatient here
$14,044
Avg total payment (incl. patient share), 50 Medicare stays, MS-DRG 470

Medicare prices at Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,044$52,6963.8×$12,098
Shoulder replacement———$16,367
Hip replacement after a fracture (DRG 522)$15,872$62,3503.9×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 341 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Memorial Hospital for a knee or hip replacement?

In 2024 the average total payment to Memorial Hospital for an inpatient hip or knee replacement stay was $14,044 (MS-DRG 470, 50 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,098 per outpatient case (APC 5115, 217 cases).

What is Memorial Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,696, 3.8× 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 Memorial Hospital?

Yes for Medicare facility payments. Edwardsville Ambulatory Surg Ctr LLC, an orthopedic surgery center 15.1 mi away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447), $5,244 less than an inpatient stay at Memorial Hospital. Not every patient is a surgery-center candidate.

How does Memorial Hospital compare with other Illinois hospitals?

Memorial Hospital's average total payment per Medicare stay is lower than 80% of the 45 Illinois hospitals that report inpatient hip or knee replacement.