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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,105 | $68,832 | 4.0× | $12,188 |
| Shoulder replacement | — | — | — | $17,129 |
| Hip replacement after a fracture (DRG 522) | $14,462 | $82,650 | 5.7× | — |
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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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).
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.
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.
Medicare paid Edward Hospital more than 76% of the 45 Illinois hospitals that report inpatient hip or knee replacement.