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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,062 |
| Shoulder replacement | — | — | — | $16,815 |
| Hip replacement after a fracture (DRG 522) | $15,807 | $65,904 | 4.2× | — |
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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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.
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.