Elmhurst, IL 60126 · CMS Certification Number 140200. 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 | $14,795 | $87,778 | 5.9× | $12,158 |
| Shoulder replacement | $18,929 | $130,339 | 6.9× | $17,116 |
| Hip replacement after a fracture (DRG 522) | $15,414 | $99,223 | 6.4× | — |
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 247 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Elmhurst Memorial Hospital an average of $14,795 per inpatient hip or knee replacement stay (MS-DRG 470, 165 stays) and $12,158 per outpatient case (APC 5115, 339 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,778, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Summit Center for Surgery, LLC, an orthopedic surgery center 2.3 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $5,557 less than an inpatient stay at Elmhurst Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Elmhurst Memorial Hospital less than 58% of the 45 Illinois hospitals that report inpatient hip or knee replacement.