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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Advocate Good Shepherd Hospital an average of $13,197 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $12,301 per outpatient case (APC 5115, 319 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $62,213, 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. 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.
Medicare paid Advocate Good Shepherd Hospital less than 96% of the 45 Illinois hospitals that report inpatient hip or knee replacement.