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Hshs St Elizabeth's Hospital: what a joint replacement costs

O Fallon, IL 62269 · CMS Certification Number 140187. 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, 11.1 mi
Outpatient here
$12,062
125 Medicare cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Hshs St Elizabeth's Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement———$12,062
Shoulder replacement———$16,815
Hip replacement after a fracture (DRG 522)$15,807$65,9044.2×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 260 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Hshs St Elizabeth's Hospital for a knee or hip replacement?

Medicare allowed an average of $12,062 per outpatient hip or knee replacement case (APC 5115, 125 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Hshs St Elizabeth's Hospital?

Yes for Medicare facility payments. Edwardsville Ambulatory Surg Ctr LLC, an orthopedic surgery center 11.1 mi away, is paid about $8,800 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.