Price AtlasInteractive atlas · All states · techysurgeon.comAdvocate Good Samaritan Hospital: what a joint replacement costs
Downers Grove, IL 60515 · CMS Certification Number 140288. 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 Advocate Good Samaritan Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,602 | $70,139 | 5.2× | $12,329 |
| Shoulder replacement | — | — | — | $17,654 |
| Hip replacement after a fracture (DRG 522) | $15,176 | $83,257 | 5.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,826 | 2.3× | $21,851–$33,552 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS IL | $33,552 | 2.5× | 1 |
| Cigna | $30,888 | 2.3× | 1 |
| Aetna | $30,764 | 2.3× | 1 |
| UnitedHealthcare | $21,851 | 1.6× | 1 |
From the hospital's price-transparency file (2025-11-04); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-11-04); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 366 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Advocate Good Samaritan Hospital for a knee or hip replacement?
In 2024 the average total payment to Advocate Good Samaritan Hospital for an inpatient hip or knee replacement stay was $13,602 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,329 per outpatient case (APC 5115, 146 cases).
What is Advocate Good Samaritan Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $70,139, 5.2× 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 Advocate Good Samaritan Hospital?
Yes for Medicare facility payments. Midwest Center for Day Surgery, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $4,364 less than an inpatient stay at Advocate Good Samaritan Hospital. Not every patient is a surgery-center candidate.
How does Advocate Good Samaritan Hospital compare with other Illinois hospitals?
Advocate Good Samaritan Hospital's average total payment per Medicare stay is lower than 89% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Advocate Good Samaritan Hospital 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 $30,826 across 4 insurers, ranging from $21,851 to $33,552.