Elk Grove Village, IL 60007 · CMS Certification Number 140258. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,272 | $65,244 | 4.6× | $12,643 |
| Shoulder replacement | — | — | — | $18,084 |
| Hip replacement after a fracture (DRG 522) | $15,819 | $93,220 | 5.9× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,482 | 1.2× | $12,827–$17,957 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Smarthealth | $17,957 | 1.3× | 1 |
| BCBS IL | $16,931 | 1.2× | 1 |
| Bright Health | $16,033 | 1.1× | 1 |
| Covid-19 Uninsured | $12,827 | 0.9× | 1 |
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 483 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Alexian Brothers Medical Center 1 for an inpatient hip or knee replacement stay was $14,272 (MS-DRG 470, 30 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,643 per outpatient case (APC 5115, 81 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $65,244, 4.6× the average total payment for a Medicare stay. 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 2.9 mi away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $5,034 less than an inpatient stay at Alexian Brothers Medical Center 1. Not every patient is a surgery-center candidate.
Alexian Brothers Medical Center 1's average total payment per Medicare stay is lower than 76% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $16,482 across 4 insurers, ranging from $12,827 to $17,957.