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Advocate Condell Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,988
Advocate Surgery Center- Libertyville, same ZIP
Outpatient here
$12,160
Medicare allowed amount, 269 cases, APC 5115
Inpatient here
$15,606
Avg total payment (incl. patient share), 19 Medicare stays, MS-DRG 470

Medicare prices at Advocate Condell Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,606$82,5665.3×$12,160
Shoulder replacement———$17,202
Hip replacement after a fracture (DRG 522)$15,350$92,0206.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$23,9021.5×$19,353–$30,8884
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$30,8882.0×1
Aetna$24,8341.6×1
BCBS IL$22,9691.5×1
UnitedHealthcare$19,3531.2×1

From the hospital's price-transparency file (2025-11-04); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-11-04); commercial plans, dollar-amount contracts only.

Quality

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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Questions

How much does Medicare pay Advocate Condell Medical Center for a knee or hip replacement?

In 2024 the average total payment to Advocate Condell Medical Center for an inpatient hip or knee replacement stay was $15,606 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,160 per outpatient case (APC 5115, 269 cases).

What is Advocate Condell Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,566, 5.3× the average total payment for a Medicare stay. 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 Advocate Condell Medical Center?

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.

How does Advocate Condell Medical Center compare with other Illinois hospitals?

Advocate Condell Medical Center's average total payment per Medicare stay is higher than 67% of the 45 Illinois hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Advocate Condell Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,902 across 4 insurers, ranging from $19,353 to $30,888.