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St Alexius Medical Center: what a joint replacement costs

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.

Surgery center nearby
$9,238
Hoffman Estates Surgery Center, LLC, same ZIP
Outpatient here
$12,671
393 Medicare cases, APC 5115
Inpatient here
$14,835
92 Medicare stays, MS-DRG 470

Medicare prices at St Alexius Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,835$69,0394.7×$12,671
Shoulder replacement———$17,455
Hip replacement after a fracture (DRG 522)$16,590$81,1544.9×—

Quality

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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Questions

How much does Medicare pay St Alexius Medical Center for a knee or hip replacement?

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).

What is St Alexius Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near St Alexius Medical Center?

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.

How does St Alexius Medical Center compare with other Illinois hospitals?

Medicare paid St Alexius Medical Center less than 53% of the 45 Illinois hospitals that report inpatient hip or knee replacement.