CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Advocate Trinity Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$21,462
about 1.5× the $14,044 Medicare rate · typically $14,941–$29,137
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,720
Above the fair price
about $7,258 over the fair price · 2.0× Medicare
Medicare pays $14,044 Fair price $21,462 This hospital $28,720

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 $28,720

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 $21,462 (about 1.5× the $14,044 Medicare rate). Advocate Trinity Hospital charges insurers about $28,720 — above the fair price. Located in Chicago, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $21,462. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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 $20,707 - $34,046 147%
Blue Cross Blue Shieldmajor $20,744 - $38,319 148%
Aetnamajor $30,764 219%
Cignamajor $21,434 - $40,342 153%
Ambetter (Centene) $26,872 191%
Molina $26,872 191%
Oscar Health $27,798 198%
+ 1 smaller / regional plan $35,582

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.

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Facility Profile & Credentials

  • Address: 2320 E 93Rd St, Chicago, IL 60617
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals