Major hip and knee joint replacement or reattachment of lower extremity without major complications in Illinois
What 45 hospitals in Illinois charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$77,882
Hospital list price billed
Average payment
$16,408
Medicare + patient + other payers
Medicare paid
$13,448
Average per stay
State rank
#31 of 48
1 = lowest average payment
Hospitals in Illinois billed an average of $77,882 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 4.7 times the average total payment of $16,408. That payment is 5% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $16,408Billed $77,882
About 21¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Illinois:
Illinois hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every Illinois hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Evanston HospitalEvanston | 366 | $67,089 | $16,169 | $14,088 |
| Northwest Community HospitalArlington Heights | 195 | $62,337 | $14,774 | $11,666 |
| Elmhurst Memorial HospitalElmhurst | 165 | $87,778 | $14,795 | $12,056 |
| Northwestern Memorial HospitalChicago | 145 | $113,969 | $19,429 | $16,311 |
| Good Samaritan Regional Hlth CenterMt Vernon | 122 | $79,268 | $15,104 | $11,374 |
| Sarah Bush Lincoln Health CenterMattoon | 114 | $75,821 | $14,205 | $11,719 |
| Rush University Medical CenterChicago | 100 | $73,066 | $24,139 | $20,067 |
| St Alexius Medical CenterSchaumburg | 92 | $69,039 | $14,835 | $13,202 |
| Edward HospitalNaperville | 72 | $68,832 | $17,105 | $10,449 |
| Saint Francis Medical CenterPeoria | 54 | $93,721 | $18,174 | $13,795 |
| Memorial HospitalBelleville | 50 | $52,696 | $14,044 | $11,681 |
| Saint Anthony Medical CenterRockford | 50 | $72,863 | $14,724 | $12,341 |
| Adventist la Grange Memorial HospitalLa Grange | 46 | $68,995 | $14,508 | $12,713 |
| Loyola University Medical CenterMaywood | 45 | $56,457 | $23,185 | $17,766 |
| Palos Community HospitalPalos Heights | 44 | $82,831 | $14,480 | $11,053 |
| Advocate Lutheran General HospitalPark Ridge | 39 | $58,356 | $19,980 | $14,206 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 38 | $68,230 | $17,443 | $15,005 |
| Northwestern Medicine McHenryMcHenry | 36 | $88,270 | $16,596 | $12,642 |
| Alton Memorial HospitalAlton | 35 | $64,101 | $14,616 | $12,902 |
| Lake Forest HospitalLake Forest | 32 | $136,692 | $15,525 | $13,928 |
| Proctor HospitalPeoria | 30 | $95,430 | $13,162 | $11,856 |
| Alexian Brothers Medical CenterElk Grove Village | 30 | $65,244 | $14,272 | $12,626 |
| Morris Hospital & Healthcare CentersMorris | 27 | $88,052 | $14,382 | $12,870 |
| St Joseph Medical CenterBloomington | 25 | $80,686 | $13,472 | $11,902 |
| Rhc St Francis HospitalEvanston | 24 | $120,105 | $19,112 | $16,552 |
| University of Illinois Hospital and ClinicsChicago | 21 | $114,498 | $32,599 | $21,822 |
| Illini HospitalSilvis | 21 | $38,357 | $13,942 | $12,310 |
| Advocate Good Shepherd HospitalBarrington | 20 | $62,213 | $13,197 | $11,565 |
| Bromenn Healthcare SystemNormal | 19 | $49,177 | $13,773 | $12,108 |
| Advocate Condell Medical CenterLibertyville | 19 | $82,566 | $15,606 | $11,807 |
| Advocate Good Samaritan HospitalDowners Grove | 18 | $70,139 | $13,602 | $12,229 |
| Copley Memorial HospitalAurora | 17 | $85,250 | $15,149 | $13,627 |
| Provena St Marys HospitalKankakee | 17 | $114,219 | $14,404 | $12,964 |
| Blessing HospitalQuincy | 16 | $117,578 | $14,808 | $12,918 |
| Louis a Weiss Memorial HospitalChicago | 15 | $108,741 | $19,488 | $16,774 |
| Carle Foundation HospitalUrbana | 15 | $71,597 | $15,199 | $13,423 |
| Decatur Memorial HospitalDecatur | 15 | $94,217 | $15,539 | $13,778 |
| Silver Cross HospitalJoliet | 14 | $52,082 | $13,710 | $12,078 |
| Herrin HospitalHerrin | 13 | $98,721 | $26,310 | $10,230 |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | 13 | $88,918 | $17,301 | $15,824 |
| OSF Saint Elizabeth Mdl CtrOttawa | 12 | $88,561 | $15,022 | $13,390 |
| Ingalls Memorial HospitalHarvey | 12 | $73,630 | $15,445 | $13,836 |
| Trinity Rock IslandRock Island | 12 | $54,721 | $13,511 | $12,015 |
| Advocate Trinity HospitalChicago | 11 | $91,814 | $16,333 | $11,824 |
| Crossroads Community HospitalMt Vernon | 11 | $147,152 | $15,567 | $13,935 |
Lowest and highest payments in Illinois
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Proctor HospitalPeoria, IL | $13,162 |
|---|---|
| Advocate Good Shepherd HospitalBarrington, IL | $13,197 |
| St Joseph Medical CenterBloomington, IL | $13,472 |
| Trinity Rock IslandRock Island, IL | $13,511 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $13,602 |
Highest
| University of Illinois Hospital and ClinicsChicago, IL | $32,599 |
|---|---|
| Herrin HospitalHerrin, IL | $26,310 |
| Rush University Medical CenterChicago, IL | $24,139 |
| Loyola University Medical CenterMaywood, IL | $23,185 |
| Advocate Lutheran General HospitalPark Ridge, IL | $19,980 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 45 hospitals in Illinois was billed at $77,882 on average, while the average total payment was $16,408, of which Medicare paid $13,448. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Illinois, average charges were 4.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.