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Advocate 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.

Surgery center nearby
$9,238
Midwest Center for Day Surgery, same ZIP
Outpatient here
$12,329
146 Medicare cases, APC 5115
Inpatient here
$13,602
18 Medicare stays, MS-DRG 470

Medicare prices at Advocate Good Samaritan Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,602$70,1395.2×$12,329
Shoulder replacement———$17,654
Hip replacement after a fracture (DRG 522)$15,176$83,2575.5×—

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 Medicare paid Advocate Good Samaritan Hospital an average of $13,602 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $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× 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 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?

Medicare paid Advocate Good Samaritan Hospital less than 89% of the 45 Illinois hospitals that report inpatient hip or knee replacement.