Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in Illinois

MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota

$102,519typical hospital bill

$28,123typical amount paid

$22,410–$49,512range paid across 6 hospitals

Illinois hospitals billed Medicare a typical $102,519 for this stay in 2024, about 3.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

Hospital	City	Medicare stays	Billed	Paid
Elmhurst Memorial Hospital	Elmhurst	11	$96,403	$22,410
Sarah Bush Lincoln Health Center	Mattoon	12	$104,271	$23,699
Northshore University Healthsystem - Evanston Hospital	Evanston	18	$100,767	$27,118
Advocate Lutheran General Hospital	Park Ridge	18	$77,969	$29,127
Northwestern Memorial Hospital	Chicago	19	$128,457	$30,965
Rush University Medical Center	Chicago	13	$111,224	$49,512

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.