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Sarah 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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,874
406 Medicare cases, APC 5115
Inpatient here
$14,205
114 Medicare stays, MS-DRG 470

Medicare prices at Sarah Bush Lincoln Health Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,205$75,8215.3×$12,874
Shoulder replacement$18,083$98,4285.4×$17,699
Hip replacement after a fracture (DRG 522)$15,107$79,3305.3×—

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 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).

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× what Medicare paid. 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?

Medicare paid Sarah Bush Lincoln Health Center less than 78% of the 45 Illinois hospitals that report inpatient hip or knee replacement.