CMS Price Transparency Data

Total knee replacement

Facility: Saint Francis Hospital-Evanston

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$13,773
about 1.1× the $13,117 Medicare rate · typically $8,293–$15,738
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,691
About the fair price
about $82 under the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $13,773 This hospital $13,691 Cash price $13,690 Hospital's list price $40,674

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 $2,563 Priciest $13,691

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

A fair price for a Total knee replacement is about $13,773 (about 1.1× the $13,117 Medicare rate). Saint Francis Hospital-Evanston charges insurers about $13,691, or about $13,690 in cash — about the fair price. Located in Evanston, 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 $13,691 - $30,270 104%
Blue Cross Blue Shieldmajor $11,914 - $19,167 91%
Aetnamajor $2,846 - $14,375 22%
Cignamajor $4,550 - $13,691 35%
Humanamajor $11,914 - $15,060 91%
Ambetter (Centene) $22,179 169%
Devoted Health $13,691 104%
Health Net $16,429 125%
HealthPartners $13,691 - $15,744 104%
Meridian $12,510 - $14,375 95%
Molina $12,510 - $20,536 95%
WellCare $13,691 104%
+ 10 smaller / regional plans $1,340 - $21,221
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 355 Ridge Ave, Evanston, IL 60202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals