CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Macneal Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,738
about 1.3× the $14,044 Medicare rate · typically $14,398–$21,754
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,765
About the fair price
about $2,027 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $17,738 This hospital $19,765

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 $19,765

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 $17,738 (about 1.3× the $14,044 Medicare rate). Macneal Hospital charges insurers about $19,765 — about the fair price. Located in Berwyn, 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 $23,167 - $25,183 165%
Blue Cross Blue Shieldmajor $18,002 128%
Aetnamajor $18,558 132%
Cignamajor $19,115 - $24,919 136%
Humanamajor $18,985 - $27,660 135%
Ambetter (Centene) $22,270 159%
Meridian $20,043 143%
Molina $19,486 - $23,198 139%
Oscar Health $20,414 145%
WellCare $19,486 139%
Government programs also on file: Military & VA.

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: 3249 South Oak Park Avenue, Berwyn, IL 60402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals