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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Sarah Bush Lincoln Health Center an average of $14,205 per inpatient hip or knee replacement stay (MS-DRG 470, 114 stays) and $12,874 per outpatient case (APC 5115, 406 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,821, 5.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Sarah Bush Lincoln Health Center less than 78% of the 45 Illinois hospitals that report inpatient hip or knee replacement.