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Silver Cross Hospital and Medical Centers: what a joint replacement costs

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.

Surgery center nearby
$9,238
Silver Cross Surgery Center, same ZIP
Outpatient here
$12,338
Medicare allowed amount, 299 cases, APC 5115
Inpatient here
$13,710
Avg total payment (incl. patient share), 14 Medicare stays, MS-DRG 470

Medicare prices at Silver Cross Hospital and Medical Centers

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,710$52,0823.8×$12,338
Shoulder replacement$19,320$60,3133.1×$17,378
Hip replacement after a fracture (DRG 522)$15,376$42,3362.8×—

Quality

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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Questions

How much does Medicare pay Silver Cross Hospital and Medical Centers for a knee or hip replacement?

In 2024 the average total payment to Silver Cross Hospital and Medical Centers for an inpatient hip or knee replacement stay was $13,710 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,338 per outpatient case (APC 5115, 299 cases).

What is Silver Cross Hospital and Medical Centers's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,082, 3.8× 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 Silver Cross Hospital and Medical Centers?

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.

How does Silver Cross Hospital and Medical Centers compare with other Illinois hospitals?

Silver Cross Hospital and Medical Centers's average total payment per Medicare stay is lower than 87% of the 45 Illinois hospitals that report inpatient hip or knee replacement.