Rockford, IL 61108 · CMS Certification Number 140233. 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 | $14,724 | $72,863 | 4.9× | $12,619 |
| Shoulder replacement | — | — | — | $18,084 |
| Hip replacement after a fracture (DRG 522) | $16,242 | $74,096 | 4.6× | — |
Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 254 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Saint Anthony Medical Center an average of $14,724 per inpatient hip or knee replacement stay (MS-DRG 470, 50 stays) and $12,619 per outpatient case (APC 5115, 206 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,863, 4.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Rockford Orthopedic Surgery Center, an orthopedic surgery center 2.1 mi away, is paid about $8,749 by Medicare for a knee replacement (CPT 27447), $5,975 less than an inpatient stay at Saint Anthony Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Saint Anthony Medical Center less than 62% of the 45 Illinois hospitals that report inpatient hip or knee replacement.