Revision of hip or knee replacement with complications in Illinois
What 24 hospitals in Illinois charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$140,912
Hospital list price billed
Average payment
$32,577
Medicare + patient + other payers
Medicare paid
$25,389
Average per stay
State rank
#32 of 41
1 = lowest average payment
Hospitals in Illinois billed an average of $140,912 for revision of hip or knee replacement with complications, about 4.3 times the average total payment of $32,577. That payment is 6% above the U.S. average of $30,673.
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 $32,577Billed $140,912
About 23¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Illinois:
Illinois hospitals: revision of hip or knee replacement with 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 |
|---|---|---|---|---|
| Northwestern Memorial HospitalChicago | 60 | $180,770 | $30,487 | $27,641 |
| Adventist la Grange Memorial HospitalLa Grange | 51 | $135,585 | $28,414 | $21,570 |
| Evanston HospitalEvanston | 46 | $90,453 | $29,298 | $25,133 |
| Rush University Medical CenterChicago | 38 | $137,549 | $41,050 | $37,277 |
| Northwestern Medicine McHenryMcHenry | 31 | $141,746 | $25,310 | $23,782 |
| Saint Francis Medical CenterPeoria | 26 | $151,691 | $32,674 | $26,549 |
| The University of Chicago Medical CenterChicago | 26 | $237,572 | $39,739 | $33,541 |
| Loyola University Medical CenterMaywood | 22 | $105,945 | $40,115 | $33,957 |
| Saint Anthony Medical CenterRockford | 21 | $106,945 | $41,110 | $22,305 |
| Sarah Bush Lincoln Health CenterMattoon | 20 | $148,895 | $49,010 | $20,955 |
| Elmhurst Memorial HospitalElmhurst | 19 | $168,805 | $54,590 | $16,722 |
| Proctor HospitalPeoria | 17 | $134,331 | $24,027 | $20,920 |
| Decatur Memorial HospitalDecatur | 16 | $149,726 | $23,944 | $22,456 |
| Silver Cross HospitalJoliet | 16 | $69,807 | $26,057 | $21,062 |
| Advocate Lutheran General HospitalPark Ridge | 16 | $63,806 | $27,750 | $25,770 |
| Advocate Trinity HospitalChicago | 15 | $104,553 | $21,546 | $20,349 |
| St Alexius Medical CenterSchaumburg | 15 | $111,795 | $26,025 | $24,738 |
| St Johns HospitalSpringfield | 14 | $121,976 | $27,820 | $25,913 |
| Lake Forest HospitalLake Forest | 14 | $233,257 | $25,996 | $24,323 |
| Central Dupage HospitalWinfield | 14 | $262,225 | $52,926 | $22,024 |
| Advocate Condell Medical CenterLibertyville | 13 | $111,205 | $21,885 | $20,755 |
| Advocate Good Samaritan HospitalDowners Grove | 12 | $106,870 | $23,778 | $22,551 |
| Sherman HospitalElgin | 11 | $99,357 | $32,676 | $21,953 |
| Memorial Medical CenterSpringfield | 11 | $154,815 | $28,696 | $26,766 |
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
| Advocate Trinity HospitalChicago, IL | $21,546 |
|---|---|
| Advocate Condell Medical CenterLibertyville, IL | $21,885 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $23,778 |
| Decatur Memorial HospitalDecatur, IL | $23,944 |
| Proctor HospitalPeoria, IL | $24,027 |
Highest
| Elmhurst Memorial HospitalElmhurst, IL | $54,590 |
|---|---|
| Central Dupage HospitalWinfield, IL | $52,926 |
| Sarah Bush Lincoln Health CenterMattoon, IL | $49,010 |
| Saint Anthony Medical CenterRockford, IL | $41,110 |
| Rush University Medical CenterChicago, IL | $41,050 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 24 hospitals in Illinois was billed at $140,912 on average, while the average total payment was $32,577, of which Medicare paid $25,389. 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 4.3 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.