Hoffman Estates, IL 60169 · CMS Certification Number 140290. 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 | $14,835 | $69,039 | 4.7× | $12,671 |
| Shoulder replacement | — | — | — | $17,455 |
| Hip replacement after a fracture (DRG 522) | $16,590 | $81,154 | 4.9× | — |
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 342 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid St Alexius Medical Center an average of $14,835 per inpatient hip or knee replacement stay (MS-DRG 470, 92 stays) and $12,671 per outpatient case (APC 5115, 393 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $69,039, 4.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Hoffman Estates Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $9,238 by Medicare for a knee replacement (CPT 27447), $5,597 less than an inpatient stay at St Alexius Medical Center. Not every patient is a surgery-center candidate.
Medicare paid St Alexius Medical Center less than 53% of the 45 Illinois hospitals that report inpatient hip or knee replacement.