Rock Island, IL 61201 · CMS Certification Number 140280. 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 | $13,511 | $54,721 | 4.1× | $12,146 |
| Shoulder replacement | — | — | — | $16,478 |
| Hip replacement after a fracture (DRG 522) | $15,213 | $56,470 | 3.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,894 | 1.3× | $10,452–$22,153 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $22,153 | 1.6× | 1 |
| HealthPartners | $17,499 | 1.3× | 1 |
| Aetna | $16,894 | 1.3× | 1 |
| Wellmark BCBS | $13,101 | 1.0× | 1 |
| BCBS IL | $10,452 | 0.8× | 1 |
From the hospital's price-transparency file (2026-01-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-28); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 314 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Trinity Rock Island for an inpatient hip or knee replacement stay was $13,511 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,146 per outpatient case (APC 5115, 117 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,721, 4.1× 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. Quad City Ambulatory Surgery C, an orthopedic surgery center 4.6 mi away, is paid about $8,092 by Medicare for a knee replacement (CPT 27447), $5,419 less than an inpatient stay at Trinity Rock Island. Not every patient is a surgery-center candidate.
Trinity Rock Island's average total payment per Medicare stay is lower than 91% 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 $16,894 across 5 insurers, ranging from $10,452 to $22,153.