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Northwest Community Hospital 1: what a joint replacement costs

Arlington Heights, IL 60005 · CMS Certification Number 140252. 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
Northwest Community Day Surgery Ctr Ii, LLC, same ZIP
Outpatient here
$12,370
304 Medicare cases, APC 5115
Inpatient here
$14,774
195 Medicare stays, MS-DRG 470

Medicare prices at Northwest Community Hospital 1

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,774$62,3374.2×$12,370
Shoulder replacement$18,024$80,6884.5×$17,654
Hip replacement after a fracture (DRG 522)$16,997$70,5454.2×—

Quality

Complications after hip or knee replacement: 2.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 563 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Northwest Community Hospital 1 for a knee or hip replacement?

In 2024 Medicare paid Northwest Community Hospital 1 an average of $14,774 per inpatient hip or knee replacement stay (MS-DRG 470, 195 stays) and $12,370 per outpatient case (APC 5115, 304 cases).

What is Northwest Community Hospital 1's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,337, 4.2× 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 Northwest Community Hospital 1?

Yes for Medicare facility payments. Northwest Community Day Surgery Ctr Ii, LLC, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $5,536 less than an inpatient stay at Northwest Community Hospital 1. Not every patient is a surgery-center candidate.

How does Northwest Community Hospital 1 compare with other Illinois hospitals?

Medicare paid Northwest Community Hospital 1 less than 60% of the 45 Illinois hospitals that report inpatient hip or knee replacement.