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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,445 | $73,630 | 4.8× | $11,852 |
| Shoulder replacement | — | — | — | — |
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 Medicare paid Ingalls Memorial Hospital an average of $15,445 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $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× what Medicare paid. 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.
Medicare paid Ingalls Memorial Hospital more than 58% of the 45 Illinois hospitals that report inpatient hip or knee replacement.