New Lenox, IL 60451 · CMS Certification Number 140213. 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 | $13,710 | $52,082 | 3.8× | $12,338 |
| Shoulder replacement | $19,320 | $60,313 | 3.1× | $17,378 |
| Hip replacement after a fracture (DRG 522) | $15,376 | $42,336 | 2.8× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 304 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Silver Cross Hospital and Medical Centers an average of $13,710 per inpatient hip or knee replacement stay (MS-DRG 470, 14 stays) and $12,338 per outpatient case (APC 5115, 299 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,082, 3.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Silver Cross Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $4,472 less than an inpatient stay at Silver Cross Hospital and Medical Centers. Not every patient is a surgery-center candidate.
Medicare paid Silver Cross Hospital and Medical Centers less than 87% of the 45 Illinois hospitals that report inpatient hip or knee replacement.