Mount Vernon, IL 62864 · CMS Certification Number 140294. 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 | $15,567 | $147,152 | 9.5× | $12,146 |
| Shoulder replacement | — | — | — | — |
For-profit · Acute · 56 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Deaconess Illinois Crossroads an average of $15,567 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $12,146 per outpatient case (APC 5115, 36 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $147,152, 9.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Good Samaritan Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,291 by Medicare for a knee replacement (CPT 27447), $7,276 less than an inpatient stay at Deaconess Illinois Crossroads. Not every patient is a surgery-center candidate.
Medicare paid Deaconess Illinois Crossroads more than 64% of the 45 Illinois hospitals that report inpatient hip or knee replacement.