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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Advocate Good Samaritan Hospital less than 89% of the 45 Illinois hospitals that report inpatient hip or knee replacement.