CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: St Anthonys Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,208
about 1.2× the $14,044 Medicare rate · typically $15,538–$21,936
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,259
About the fair price
about $949 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $17,208 This hospital $16,259 Cash price $42,382 Hospital's list price $58,864

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 $16,259

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 $17,208 (about 1.2× the $14,044 Medicare rate). St Anthonys Memorial Hospital charges insurers about $16,259, or about $42,382 in cash — about the fair price. Located in Effingham, 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 $16,259 - $47,268 116%
Blue Cross Blue Shieldmajor $16,259 - $58,864 116%
Aetnamajor $16,259 - $41,440 116%
Cignamajor $42,382 - $58,864 302%
Humanamajor $16,259 116%
HealthLink $44,913 - $58,864 320%
HealthPartners $16,259 116%
Molina $17,072 122%
+ 16 smaller / regional plans $16,259 - $58,864
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 503 N Maple Street, Effingham, IL 62401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals