Harvey, IL 60426 · CMS Certification Number 140191. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,445 | $73,630 | 4.8× | $11,852 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $17,842 | 1.2× | $13,431–$20,061 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $20,061 | 1.3× | 1 |
| Oscar | $18,325 | 1.2× | 1 |
| Cigna | $17,842 | 1.2× | 1 |
| UnitedHealthcare | $13,556 | 0.9× | 1 |
| BCBS IL | $13,431 | 0.9× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.9% (no different from the national rate). Overall Care Compare rating: 2 of 5 stars. Physician-owned · Acute · 582 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Ingalls Memorial Hospital for an inpatient hip or knee replacement stay was $15,445 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,852 per outpatient case (APC 5115, 52 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,630, 4.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Ingalls Same Day Surgery, an orthopedic surgery center 7.4 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $6,207 less than an inpatient stay at Ingalls Memorial Hospital. Not every patient is a surgery-center candidate.
Ingalls Memorial Hospital's average total payment per Medicare stay is higher than 58% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $17,842 across 5 insurers, ranging from $13,431 to $20,061.