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Alexian Brothers Medical Center 1: what a joint replacement costs

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.

Surgery center nearby
$9,238
Northwest Community Day Surgery Ctr Ii, LLC, 2.9 mi
Outpatient here
$12,643
Medicare allowed amount, 81 cases, APC 5115
Inpatient here
$14,272
Avg total payment (incl. patient share), 30 Medicare stays, MS-DRG 470

Medicare prices at Alexian Brothers Medical Center 1

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,272$65,2444.6×$12,643
Shoulder replacement———$18,084
Hip replacement after a fracture (DRG 522)$15,819$93,2205.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$16,4821.2×$12,827–$17,9574
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Smarthealth$17,9571.3×1
BCBS IL$16,9311.2×1
Bright Health$16,0331.1×1
Covid-19 Uninsured$12,8270.9×1

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.

Quality

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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Questions

How much does Medicare pay Alexian Brothers Medical Center 1 for a knee or hip replacement?

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).

What is Alexian Brothers Medical Center 1's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Alexian Brothers Medical Center 1?

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.

How does Alexian Brothers Medical Center 1 compare with other Illinois hospitals?

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.

What do commercial insurers pay Alexian Brothers Medical Center 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 $16,482 across 4 insurers, ranging from $12,827 to $17,957.