Price AtlasInteractive atlas · All states · techysurgeon.comNorthwest 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.
Medicare prices at Northwest Community Hospital 1
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $17,908 | 1.2× | $17,903–$19,515 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $19,515 | 1.3× | 1 |
| BCBS IL | $17,908 | 1.2× | 1 |
| UnitedHealthcare | $17,903 | 1.2× | 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: 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 the average total payment to Northwest Community Hospital 1 for an inpatient hip or knee replacement stay was $14,774 (MS-DRG 470, 195 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Northwest Community Hospital 1's average total payment per Medicare stay is lower than 60% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Northwest Community Hospital 1 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 $17,908 across 3 insurers, ranging from $17,903 to $19,515.