CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Alton Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,504
about 1.3× the $14,044 Medicare rate · typically $15,018–$22,831
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,710
About the fair price
about $206 over the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $18,504 This hospital $18,710 Cash price $37,980 Hospital's list price $63,301

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $12,226 Priciest $18,710

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,504 (about 1.3× the $14,044 Medicare rate). Alton Memorial Hospital charges insurers about $18,710, or about $37,980 in cash — about the fair price. Located in Alton, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,917 - $16,466 113%
Blue Cross Blue Shieldmajor $15,917 - $32,825 113%
Aetnamajor $15,917 - $24,702 113%
Cignamajor $10,469 - $18,710 75%
Humanamajor $15,917 - $37,912 113%
Devoted Health $16,713 119%
Medica $16,713 119%
Priority Health $18,710 133%
+ 12 smaller / regional plans $15,917 - $24,702

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Facility Profile & Credentials

  • Address: One Memorial Drive, Alton, IL 62002
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals