Libertyville, IL 60048 · CMS Certification Number 140202. 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 | $15,606 | $82,566 | 5.3× | $12,160 |
| Shoulder replacement | — | — | — | $17,202 |
| Hip replacement after a fracture (DRG 522) | $15,350 | $92,020 | 6.0× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 284 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Advocate Condell Medical Center an average of $15,606 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $12,160 per outpatient case (APC 5115, 269 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,566, 5.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Advocate Surgery Center- Libertyville, an orthopedic surgery center same ZIP away, is paid about $8,988 by Medicare for a knee replacement (CPT 27447), $6,618 less than an inpatient stay at Advocate Condell Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Advocate Condell Medical Center more than 67% of the 45 Illinois hospitals that report inpatient hip or knee replacement.