Chicago, IL 60611 · CMS Certification Number 140281. 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 | $19,429 | $113,969 | 5.9× | $12,656 |
| Shoulder replacement | — | — | — | $17,925 |
| Hip replacement after a fracture (DRG 522) | $20,762 | $154,792 | 7.5× | — |
Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 894 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Northwestern Memorial Hospital an average of $19,429 per inpatient hip or knee replacement stay (MS-DRG 470, 145 stays) and $12,656 per outpatient case (APC 5115, 534 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $113,969, 5.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. River North Same Day Surgery LLC, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $10,191 less than an inpatient stay at Northwestern Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Northwestern Memorial Hospital more than 87% of the 45 Illinois hospitals that report inpatient hip or knee replacement.