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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,044 | $52,696 | 3.8× | $12,098 |
| Shoulder replacement | — | — | — | $16,367 |
| Hip replacement after a fracture (DRG 522) | $15,872 | $62,350 | 3.9× | — |
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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In 2024 Medicare paid Memorial Hospital an average of $14,044 per inpatient hip or knee replacement stay (MS-DRG 470, 50 stays) and $12,098 per outpatient case (APC 5115, 217 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,696, 3.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Memorial Hospital less than 80% of the 45 Illinois hospitals that report inpatient hip or knee replacement.