Revision of hip or knee replacement without complications in Illinois
What 14 hospitals in Illinois charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$113,020
Hospital list price billed
Average payment
$25,331
Medicare + patient + other payers
Medicare paid
$19,810
Average per stay
State rank
#33 of 42
1 = lowest average payment
Hospitals in Illinois billed an average of $113,020 for revision of hip or knee replacement without complications, about 4.5 times the average total payment of $25,331. That payment is 6% above the U.S. average of $23,925.
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 $25,331Billed $113,020
About 22¢ 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 without 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 | 37 | $78,838 | $22,209 | $20,359 |
| Elmhurst Memorial HospitalElmhurst | 32 | $137,237 | $30,119 | $16,871 |
| Adventist la Grange Memorial HospitalLa Grange | 29 | $117,707 | $24,676 | $17,978 |
| Rush University Medical CenterChicago | 22 | $84,778 | $31,304 | $28,597 |
| Decatur Memorial HospitalDecatur | 20 | $127,695 | $26,738 | $17,864 |
| Sarah Bush Lincoln Health CenterMattoon | 20 | $114,602 | $20,633 | $19,001 |
| Northwestern Medicine McHenryMcHenry | 18 | $127,698 | $30,750 | $17,989 |
| Saint Francis Medical CenterPeoria | 17 | $119,067 | $22,401 | $20,908 |
| Saint Anthony Medical CenterRockford | 15 | $113,892 | $20,182 | $18,447 |
| The University of Chicago Medical CenterChicago | 13 | $181,710 | $31,445 | $28,816 |
| St Alexius Medical CenterSchaumburg | 13 | $84,216 | $21,232 | $17,570 |
| Advocate Condell Medical CenterLibertyville | 12 | $95,441 | $24,710 | $16,463 |
| Carle Foundation HospitalUrbana | 11 | $94,708 | $22,489 | $17,716 |
| Memorial Medical CenterSpringfield | 11 | $127,922 | $21,479 | $19,676 |
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
| Saint Anthony Medical CenterRockford, IL | $20,182 |
|---|---|
| Sarah Bush Lincoln Health CenterMattoon, IL | $20,633 |
| St Alexius Medical CenterSchaumburg, IL | $21,232 |
| Memorial Medical CenterSpringfield, IL | $21,479 |
| Evanston HospitalEvanston, IL | $22,209 |
Highest
| The University of Chicago Medical CenterChicago, IL | $31,445 |
|---|---|
| Rush University Medical CenterChicago, IL | $31,304 |
| Northwestern Medicine McHenryMcHenry, IL | $30,750 |
| Elmhurst Memorial HospitalElmhurst, IL | $30,119 |
| Decatur Memorial HospitalDecatur, IL | $26,738 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Illinois?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 14 hospitals in Illinois was billed at $113,020 on average, while the average total payment was $25,331, of which Medicare paid $19,810. 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 4.5 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.