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Northwestern Medicine Delnor Community Hospital: what a joint replacement costs

Geneva, IL 60134 · CMS Certification Number 140211. 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
$9,176
Fox Valley Orthopaedic Institute, same ZIP
Outpatient here
$12,771
Medicare allowed amount, 169 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Northwestern Medicine Delnor Community Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,771
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$16,832$113,9046.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$14,604——1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS IL$14,604—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 118 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Northwestern Medicine Delnor Community Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $12,771 per outpatient hip or knee replacement case (APC 5115, 169 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Northwestern Medicine Delnor Community Hospital?

Yes for Medicare facility payments. Fox Valley Orthopaedic Institute, an orthopedic surgery center same ZIP away, is paid about $9,176 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Northwestern Medicine Delnor Community Hospital 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 $14,604 across 1 insurer.