Revision of Hip or Knee Replacement Without Cc/Mcc in Illinois
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$116,154typical hospital bill
$23,583typical amount paid
$20,182–$31,445range paid across 14 hospitals
Illinois hospitals billed Medicare a typical $116,154 for this stay in 2024, about 4.9 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 | |
|---|---|---|---|---|---|
| Saint Anthony Medical Center | Rockford | 15 | $113,892 | $20,182 | |
| Sarah Bush Lincoln Health Center | Mattoon | 20 | $114,602 | $20,633 | |
| St Alexius Medical Center | Hoffman Estates | 13 | $84,216 | $21,232 | |
| Memorial Medical Center | Springfield | 11 | $127,922 | $21,479 | |
| Northshore University Healthsystem - Evanston Hospital | Evanston | 37 | $78,838 | $22,209 | |
| Saint Francis Medical Center | Peoria | 17 | $119,067 | $22,401 | |
| Carle Foundation Hospital | Urbana | 11 | $94,708 | $22,489 | |
| Uchicago Medicine AdventHealth La Grange | La Grange | 29 | $117,707 | $24,676 | |
| Advocate Condell Medical Center | Libertyville | 12 | $95,441 | $24,710 | |
| Decatur Memorial Hospital | Decatur | 20 | $127,695 | $26,739 | |
| Elmhurst Memorial Hospital | Elmhurst | 32 | $137,237 | $30,119 | |
| Northwestern Medicine McHenry | McHenry | 18 | $127,698 | $30,750 | |
| Rush University Medical Center | Chicago | 22 | $84,778 | $31,304 | |
| The University of Chicago Medical Center | Chicago | 13 | $181,710 | $31,445 |
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.