Price AtlasInteractive atlas · All states · techysurgeon.comLoyola University Medical Center: what a joint replacement costs
Maywood, IL 60153 · CMS Certification Number 140276. 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 Loyola University Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $23,185 | $56,457 | 2.4× | $12,459 |
| Shoulder replacement | $31,307 | $83,069 | 2.7× | $17,077 |
| Hip replacement after a fracture (DRG 522) | $27,364 | $85,808 | 3.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,908 | 1.2× | $22,255–$34,435 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $34,435 | 1.5× | 1 |
| Humana | $31,503 | 1.4× | 1 |
| Cigna | $24,314 | 1.0× | 1 |
| BCBS IL | $22,255 | 1.0× | 1 |
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 507 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Loyola University Medical Center for a knee or hip replacement?
In 2024 the average total payment to Loyola University Medical Center for an inpatient hip or knee replacement stay was $23,185 (MS-DRG 470, 45 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,459 per outpatient case (APC 5115, 104 cases).
What is Loyola University Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,457, 2.4× 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 Loyola University Medical Center?
Yes for Medicare facility payments. Loyola Univ Ambulatory Surgery, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $13,947 less than an inpatient stay at Loyola University Medical Center. Not every patient is a surgery-center candidate.
How does Loyola University Medical Center compare with other Illinois hospitals?
Loyola University Medical Center's average total payment per Medicare stay is higher than 93% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Loyola University Medical Center 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 $27,908 across 4 insurers, ranging from $22,255 to $34,435.