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Elmhurst Memorial Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,238
Summit Center for Surgery, LLC, 2.3 mi
Outpatient here
$12,158
339 Medicare cases, APC 5115
Inpatient here
$14,795
165 Medicare stays, MS-DRG 470

Medicare prices at Elmhurst Memorial Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,795$87,7785.9×$12,158
Shoulder replacement$18,929$130,3396.9×$17,116
Hip replacement after a fracture (DRG 522)$15,414$99,2236.4×—

Quality

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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Questions

How much does Medicare pay Elmhurst Memorial Hospital for a knee or hip replacement?

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).

What is Elmhurst Memorial Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Elmhurst Memorial Hospital?

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.

How does Elmhurst Memorial Hospital compare with other Illinois hospitals?

Medicare paid Elmhurst Memorial Hospital less than 58% of the 45 Illinois hospitals that report inpatient hip or knee replacement.