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Advocate 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.

Surgery center nearby
$8,988
Barrington Ambulatory Surgery Center, same ZIP
Outpatient here
$12,301
319 Medicare cases, APC 5115
Inpatient here
$13,197
20 Medicare stays, MS-DRG 470

Medicare prices at Advocate Good Shepherd Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,197$62,2134.7×$12,301
Shoulder replacement$17,623$77,1404.4×$17,548
Hip replacement after a fracture (DRG 522)$15,006$63,1494.2×—

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 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).

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× 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 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?

Medicare paid Advocate Good Shepherd Hospital less than 96% of the 45 Illinois hospitals that report inpatient hip or knee replacement.