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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,567 | $147,152 | 9.5× | $12,146 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,121 | 2.3× | $26,116–$42,736 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Alter-Net Medical Services | $42,736 | 2.7× | 1 |
| Hope Trust | $42,736 | 2.7× | 1 |
| BCBS IL | $27,506 | 1.8× | 1 |
| Alliance Coal | $26,116 | 1.7× | 1 |
From the hospital's price-transparency file (2026-02-03); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-03); commercial plans, dollar-amount contracts only.
For-profit · Acute · 56 beds
Illinois requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Deaconess Illinois Crossroads for an inpatient hip or knee replacement stay was $15,567 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Deaconess Illinois Crossroads's average total payment per Medicare stay is higher than 64% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $35,121 across 4 insurers, ranging from $26,116 to $42,736.