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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,774 | $62,337 | 4.2× | $12,370 |
| Shoulder replacement | $18,024 | $80,688 | 4.5× | $17,654 |
| Hip replacement after a fracture (DRG 522) | $16,997 | $70,545 | 4.2× | — |
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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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).
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.
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.
Medicare paid Northwest Community Hospital 1 less than 60% of the 45 Illinois hospitals that report inpatient hip or knee replacement.