CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Carle Foundation Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,968
about 1.3× the $14,044 Medicare rate · typically $12,280–$19,489
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,527
About the fair price
about $441 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $17,968 This hospital $17,527

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 $17,527

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 $17,968 (about 1.3× the $14,044 Medicare rate). Carle Foundation Hospital charges insurers about $17,527 — about the fair price. Located in Urbana, 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 $17,527 - $34,431 125%
Blue Cross Blue Shieldmajor $17,527 - $29,414 125%
Aetnamajor $17,527 - $30,862 125%
Cignamajor $42,436 302%
Humanamajor $17,527 125%
Meridian $17,527 125%
Molina $17,527 125%
WellCare $17,527 125%
+ 1 smaller / regional plan $32,510

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Facility Profile & Credentials

  • Address: 611 West Park Street, Urbana, IL 61801
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals