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Advocate 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.

Surgery center nearby
$9,238
Illinois Sports Medicine & Orthopedic Surgery Cent, 3.5 mi
Outpatient here
$12,354
407 Medicare cases, APC 5115
Inpatient here
$19,980
39 Medicare stays, MS-DRG 470

Medicare prices at Advocate Lutheran General Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$19,980$58,3562.9×$12,354
Shoulder replacement———$17,306
Hip replacement after a fracture (DRG 522)$18,991$74,4913.9×—

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 Medicare paid Advocate Lutheran General Hospital an average of $19,980 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $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× what Medicare paid. 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?

Medicare paid Advocate Lutheran General Hospital more than 91% of the 45 Illinois hospitals that report inpatient hip or knee replacement.