CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: OSF Saint Anthony's Health Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,051
about 1.1× the $14,044 Medicare rate · typically $15,097–$20,104
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,102
About the fair price
about $51 over the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,051 This hospital $16,102

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 $16,102

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 $16,051 (about 1.1× the $14,044 Medicare rate). OSF Saint Anthony's Health Center charges insurers about $16,102 — 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 $14,689 - $16,102 105%
Blue Cross Blue Shieldmajor $16,425 117%
Aetnamajor $16,263 - $16,284 116%
Cignamajor $25,492 182%
Humanamajor $16,102 115%
Cigna HealthSpring $16,102 115%
Medica $74,481 530%
Meridian $16,102 115%
Molina $16,102 115%
WellCare $16,263 116%
+ 1 smaller / regional plan $16,102

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Facility Profile & Credentials

  • Address: St Anthony's Way, Alton, IL 62002
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals