Price AtlasInteractive atlas · All states · techysurgeon.comSarah Bush Lincoln Health Center: what a joint replacement costs
Mattoon, IL 61938 · CMS Certification Number 140189. 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.
Medicare prices at Sarah Bush Lincoln Health Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,205 | $75,821 | 5.3× | $12,874 |
| Shoulder replacement | $18,083 | $98,428 | 5.4× | $17,699 |
| Hip replacement after a fracture (DRG 522) | $15,107 | $79,330 | 5.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,368 | 1.1× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Humana | $15,368 | 1.1× | 1 |
From the hospital's price-transparency file (2026-06-03); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-06-03); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 6% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 203 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Sarah Bush Lincoln Health Center for a knee or hip replacement?
In 2024 the average total payment to Sarah Bush Lincoln Health Center for an inpatient hip or knee replacement stay was $14,205 (MS-DRG 470, 114 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,874 per outpatient case (APC 5115, 406 cases).
What is Sarah Bush Lincoln Health Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,821, 5.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
How does Sarah Bush Lincoln Health Center compare with other Illinois hospitals?
Sarah Bush Lincoln Health Center's average total payment per Medicare stay is lower than 78% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Sarah Bush Lincoln Health 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 $15,368 across 1 insurer.