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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,902 | 1.5× | $19,353–$30,888 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $30,888 | 2.0× | 1 |
| Aetna | $24,834 | 1.6× | 1 |
| BCBS IL | $22,969 | 1.5× | 1 |
| UnitedHealthcare | $19,353 | 1.2× | 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.
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 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).
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.
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.
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.
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.