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Inpatient stay · MS-DRG 489 · Surgery or procedure

Knee procedures without principal diagnosis of infection without CC/MCC

In 2024, Medicare and patients paid an average of $12,110 per stay at 16 hospitals. Half of hospitals averaged between $8,502 and $13,911.

National figures, 2024

Average payment per case
$12,110
Typical range (middle half of hospitals)
$8,502–$13,911
Medicare’s share
$9,04175% of the payment
Average billed charge
$58,630
Hospitals reporting
16231 stays

Hospitals in Illinois

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Illinois
Specific hospitals up to 10
Average payment across these 2 hospitals
$12,555National $12,110 · Illinois $12,555
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
37

2 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Knee procedures without principal diagnosis of infection without CC/MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sarah Bush Lincoln Health CenterMattoon, IL · CCN 14018916$9,03225% below the national average$7,502$49,716
Rush University Medical CenterChicago, IL · CCN 14011921$15,24026% above the national average$12,930$36,463

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 146 stays at 10 hospitals · 2021: 36 stays at 2 hospitals · 2022: 183 stays at 11 hospitals · 2023: 146 stays at 10 hospitals · 2024: 231 stays at 16 hospitals
View data as a table
National average payment and billed charge for Knee procedures without principal diagnosis of infection without CC/MCC
Year of careAverage paymentAverage billed charge
2020$9,164$46K
2021$13K$45K
2022$11K$50K
2023$11K$47K
2024$12K$59K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 12 states
Average payment by state for Knee procedures without principal diagnosis of infection without CC/MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Oklahoma111$8,010$8,010–$8,010
Arkansas112$8,012$8,012–$8,012
South Carolina117$8,182$8,182–$8,182
South Dakota113$8,556$8,556–$8,556
Ohio228$8,888$8,595–$9,107
Alabama111$9,012$9,012–$9,012
Indiana111$9,356$9,356–$9,356
Colorado111$10,668$10,668–$10,668
Utah224$11,718$10,842–$12,593
Illinois237$12,555$10,584–$13,688
New York125$16,278$16,278–$16,278
California231$20,702$17,771–$22,683

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.