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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Loyola University Medical Center more than 93% of the 45 Illinois hospitals that report inpatient hip or knee replacement.