Price AtlasInteractive atlas · All states · techysurgeon.comAdvocate Good Shepherd Hospital: what a joint replacement costs
Barrington, IL 60010 · CMS Certification Number 140291. 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 Shepherd Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,197 | $62,213 | 4.7× | $12,301 |
| Shoulder replacement | $17,623 | $77,140 | 4.4× | $17,548 |
| Hip replacement after a fracture (DRG 522) | $15,006 | $63,149 | 4.2× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,656 | 2.3× | $21,851–$30,888 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $30,888 | 2.3× | 1 |
| Aetna | $30,764 | 2.3× | 1 |
| BCBS IL | $30,549 | 2.3× | 1 |
| UnitedHealthcare | $21,851 | 1.7× | 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: 4.2% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 176 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Advocate Good Shepherd Hospital for a knee or hip replacement?
In 2024 the average total payment to Advocate Good Shepherd Hospital for an inpatient hip or knee replacement stay was $13,197 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,301 per outpatient case (APC 5115, 319 cases).
What is Advocate Good Shepherd Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,213, 4.7× 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 Shepherd Hospital?
Yes for Medicare facility payments. Barrington Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,988 by Medicare for a knee replacement (CPT 27447), $4,209 less than an inpatient stay at Advocate Good Shepherd Hospital. Not every patient is a surgery-center candidate.
How does Advocate Good Shepherd Hospital compare with other Illinois hospitals?
Advocate Good Shepherd Hospital's average total payment per Medicare stay is lower than 96% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Advocate Good Shepherd 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 $30,656 across 4 insurers, ranging from $21,851 to $30,888.