Price AtlasInteractive atlas · All states · techysurgeon.comEdward 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.
Medicare prices at Edward Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $20,671 | 1.2× | $17,629–$22,892 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $22,892 | 1.3× | 1 |
| BCBS IL | $20,671 | 1.2× | 1 |
| Aetna | $17,629 | 1.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Edward Hospital for an inpatient hip or knee replacement stay was $17,105 (MS-DRG 470, 72 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Edward Hospital's average total payment per Medicare stay is higher than 76% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Edward Hospital 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 $20,671 across 3 insurers, ranging from $17,629 to $22,892.