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Loyola 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.

Surgery center nearby
$9,238
Loyola Univ Ambulatory Surgery, same ZIP
Outpatient here
$12,459
104 Medicare cases, APC 5115
Inpatient here
$23,185
45 Medicare stays, MS-DRG 470

Medicare prices at Loyola University Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,185$56,4572.4×$12,459
Shoulder replacement$31,307$83,0692.7×$17,077
Hip replacement after a fracture (DRG 522)$27,364$85,8083.1×—

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 Medicare paid Loyola University Medical Center an average of $23,185 per inpatient hip or knee replacement stay (MS-DRG 470, 45 stays) and $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× what Medicare paid. 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?

Medicare paid Loyola University Medical Center more than 93% of the 45 Illinois hospitals that report inpatient hip or knee replacement.