Price AtlasInteractive atlas · All states · techysurgeon.comAdvocate Lutheran General Hospital: what a joint replacement costs
Park Ridge, IL 60068 · CMS Certification Number 140223. 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.
Medicare prices at Advocate Lutheran General Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $19,980 | $58,356 | 2.9× | $12,354 |
| Shoulder replacement | — | — | — | $17,306 |
| Hip replacement after a fracture (DRG 522) | $18,991 | $74,491 | 3.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,875 | 1.6× | $21,851–$36,415 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS IL | $36,415 | 1.8× | 1 |
| Cigna | $32,986 | 1.7× | 1 |
| Aetna | $30,764 | 1.5× | 1 |
| UnitedHealthcare | $21,851 | 1.1× | 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: 3.5% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 638 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Advocate Lutheran General Hospital for a knee or hip replacement?
In 2024 the average total payment to Advocate Lutheran General Hospital for an inpatient hip or knee replacement stay was $19,980 (MS-DRG 470, 39 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,354 per outpatient case (APC 5115, 407 cases).
What is Advocate Lutheran General Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,356, 2.9× 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 Lutheran General Hospital?
Yes for Medicare facility payments. Illinois Sports Medicine & Orthopedic Surgery Cent, an orthopedic surgery center 3.5 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $10,742 less than an inpatient stay at Advocate Lutheran General Hospital. Not every patient is a surgery-center candidate.
How does Advocate Lutheran General Hospital compare with other Illinois hospitals?
Advocate Lutheran General Hospital's average total payment per Medicare stay is higher than 91% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Advocate Lutheran General 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 $31,875 across 4 insurers, ranging from $21,851 to $36,415.