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Presence Saint Joseph Hospital - Chicago: what a joint replacement costs

Chicago, IL 60657 · CMS Certification Number 140224. 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
Ascension Saint Joseph Msk Jv, LLC, same ZIP
Outpatient here
$12,528
Medicare allowed amount, 44 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Presence Saint Joseph Hospital - Chicago

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,528
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,052—$20,052–$22,4583
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Smarthealth$22,458—1
BCBS IL$20,052—1
Bright Health$20,052—1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 402 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Presence Saint Joseph Hospital - Chicago for a knee or hip replacement?

The Medicare allowed amount averaged $12,528 per outpatient hip or knee replacement case (APC 5115, 44 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Presence Saint Joseph Hospital - Chicago?

Yes for Medicare facility payments. Ascension Saint Joseph Msk Jv, LLC, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Presence Saint Joseph Hospital - Chicago 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 $20,052 across 3 insurers, ranging from $20,052 to $22,458.