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Edward Hospital: what a joint replacement costs

Naperville, IL 60540 · CMS Certification Number 140231. 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
Naperville Surgical Centre, same ZIP
Outpatient here
$12,188
249 Medicare cases, APC 5115
Inpatient here
$17,105
72 Medicare stays, MS-DRG 470

Medicare prices at Edward Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,105$68,8324.0×$12,188
Shoulder replacement———$17,129
Hip replacement after a fracture (DRG 522)$14,462$82,6505.7×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 159 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Edward Hospital for a knee or hip replacement?

In 2024 Medicare paid Edward Hospital an average of $17,105 per inpatient hip or knee replacement stay (MS-DRG 470, 72 stays) and $12,188 per outpatient case (APC 5115, 249 cases).

What is Edward Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $68,832, 4.0× 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 Edward Hospital?

Yes for Medicare facility payments. Naperville Surgical Centre, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $7,867 less than an inpatient stay at Edward Hospital. Not every patient is a surgery-center candidate.

How does Edward Hospital compare with other Illinois hospitals?

Medicare paid Edward Hospital more than 76% of the 45 Illinois hospitals that report inpatient hip or knee replacement.