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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Advocate Lutheran General Hospital more than 91% of the 45 Illinois hospitals that report inpatient hip or knee replacement.