2026 Forecast Verified

ACL Surgery (ACL Reconstruction) Cost in Illinois (2026)

Close to the national average · RPP 101.2 · IL

Illinois Average
$20,240
Near national average
Typical Range
$10,120 – $30,360
National avg: $20,000
Editorial view of Illinois
Regional Pricing Confidence
90% Confidence Index
The Illinois Market

What Drives Pricing Here

Three factors explain most of why acl surgery (acl reconstruction) costs what it does in Illinois.

Regional Price Parity

Illinois's cost-of-living index sits at 101.2 — near the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.

Specialist Availability

83 facilities perform this procedure in Illinois — competition keeps pricing honest and gives you real leverage to shop quotes.

Vs. National Benchmark

Illinois tracks within 1.2% of the national average ($20,000) — a typical mid-market pricing environment with wide provider variance.

State Context

ACL Surgery (ACL Reconstruction) in Illinois: What to Know

In Illinois, the highest volumes of ACL reconstructions are performed at Northshore University HealthSystem Evanston Hospital and Northwestern Memorial Hospital in Chicago. These facilities demonstrate considerable experience with the procedure. While comprehensive data on out-of-state travel is limited, Illinois has a Certificate of Need (CON) program, which may affect the availability of new surgical centers and expansions. The CON program is scheduled to be repealed at the end of 2029.

If you're seeking more affordable options, consider facilities outside of major metropolitan areas. While specific data is limited, exploring hospitals in smaller cities or even neighboring states without CON laws, which might foster more competition and potentially lower costs, could be beneficial. Verify current pricing directly with providers.

Itemized Breakdown

Estimated Cost Breakdown in Illinois

Illinois sits near the middle of the pack for acl surgery (acl reconstruction) pricing. The cost components typically split like this.

Facility Fee

OR time and hospital staffing

$4,250 - $7,894

Most significant cost

Surgeon Fee

Expertise and experience level

$4,250 - $7,894

Implants & Supplies

$2,125 - $3,947

Post-Op Care

Recovery and aftercare

$2,125 - $3,947

Anesthesia

Anesthesiologist or CRNA fee

$1,417 - $2,631

Total Estimated Cost

Illinois all-in range

$10,120 – $30,360

Financing Options

Many Illinois clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $20,240 looks like:

$843/mo
Est. 24 months · 0% APR promo
  • Soft credit check — no hard pull
  • Instant approval decisions
  • HSA/FSA eligible for qualifying cases

Prices reflect regional cost-of-living adjustments. How we calculate these numbers →

Ranges adjusted for Illinois's regional price parity (101.2). See the national percentage breakdown →

Hospital-Level Data

Facility Costs in Illinois

Below are the top facilities performing acl surgery (acl reconstruction) in Illinois, ranked by volume. Rates shown are negotiated amounts from CMS Medicare data.

Facility City Negotiated Rate Medicare Volume
Northshore University Healthsystem Evanston Hosp Evanston $2,969 $2,361 222
Northwestern Memorial Hospital Chicago $2,932 $2,321 180
Sarah Bush Lincoln Health Center Mattoon $2,813 $2,233 133
Memorial Medical Center Springfield $2,660 $2,110 120
Decatur Memorial Hospital Decatur $2,719 $2,162 113
Northwestern Medicine Mchenry Hospital Mchenry $2,931 $2,322 111
Advocate Good Shepherd Hospital Barrington $2,970 $2,348 102
Carle Health Proctor Hospital Peoria $2,676 $2,127 99
Advocate Christ Hospital & Medical Center Oak Lawn $2,869 $2,260 94
St Johns Hospital Springfield $2,485 $1,940 90
Regional Comparison

ACL Surgery (ACL Reconstruction) Cost in Nearby States

ACL Surgery (ACL Reconstruction) pricing in Illinois is typical nationally, though nearby states offer slightly lower rates.

Common Questions

Expert Answers for Illinois Patients

Local regulations, insurance nuance, and surgical standards specific to Illinois.

Compare Illinois with any other state

See national pricing, all 50 state comparisons, and detailed cost factors in the main acl surgery (acl reconstruction) cost guide.

View full acl surgery (acl reconstruction) guide
What is the average price of acl surgery (acl reconstruction) in Illinois?
Illinois patients pay an average of $20,240 for acl surgery (acl reconstruction). Quotes from individual providers generally fall between $10,120 and $30,360, with facility fees and surgeon experience accounting for most of the variation.
Will my health insurance pay for acl surgery (acl reconstruction)?
Yes — acl surgery (acl reconstruction) is generally covered by insurance in Illinois when your doctor documents medical necessity. Expect to pay your deductible and copay, but the bulk of the $20,240 cost should be covered by your plan.
How long is recovery after acl surgery (acl reconstruction)?
Full recovery from acl surgery (acl reconstruction) runs 42 to 180 days on average. Desk workers can often return sooner, while physically demanding jobs require the full recovery window. In Illinois, medications and follow-up appointments typically run $607 to $1,619 beyond the base procedure cost.
What payment options exist for acl surgery (acl reconstruction) in Illinois?
Financing acl surgery (acl reconstruction) in Illinois is straightforward. Options include medical credit lines (CareCredit, Alphaeon Credit), your surgeon's in-house installment plan, or HSA/FSA dollars if the procedure has a medical component. Always compare the total cost with interest against a cash-pay discount.
How do I compare acl surgery (acl reconstruction) facilities in Illinois?
Start with case volume — facilities that perform more procedures generally have better outcomes. In Illinois, also compare hospital vs. ambulatory surgery center pricing (ASCs can be 30-50% cheaper) and check whether your insurance network includes the facility.
Can I save by getting acl surgery (acl reconstruction) in a neighboring state?
Yes — Missouri offers acl surgery (acl reconstruction) at an average of $18,360, which is $1,880 less than Illinois. Factor in travel costs, follow-up visit logistics, and whether your insurance network covers out-of-state providers before making the trip.
Does Illinois Medicaid cover acl surgery (acl reconstruction)?
If acl surgery (acl reconstruction) is deemed medically necessary, Illinois's Medicaid program may cover it partially or fully. You'll need your doctor to submit documentation to your plan. Elective cases without a medical justification are generally not covered.
Data Sources & References

How we calculate acl surgery (acl reconstruction) costs in Illinois

Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:

  • Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
  • HCUP (Healthcare Cost & Utilization Project)AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
  • Bureau of Labor Statistics — Healthcare Practitioner Occupational WagesBLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
  • BEA Regional Price Parities (RPP)U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for Illinois's cost-of-living relative to the national mean.
  • FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
  • Medicare Provider Utilization & Payment DataCMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.

Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.

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