CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Morris Hospital & Healthcare Centers

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$21,018

about 1.5× the $14,044 Medicare rate · typically $14,386–$28,826

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,934

Below the fair price — a good deal

about $6,084 under the fair price · 1.1× Medicare

Medicare pays $14,044 Fair price $21,018 This hospital $14,934 Cash price $21,270 Hospital's list price $88,402

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 $14,934

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 $21,018 (about 1.5× the $14,044 Medicare rate). Morris Hospital & Healthcare Centers charges insurers about $14,934, or about $21,270 in cash — below the fair price — a good deal. Located in Morris, IL.

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	$14,934 - $23,162	106%
Blue Cross Blue Shieldmajor	$17,465 - $26,108	124%
Aetnamajor	$15,233 - $18,673	108%
Cignamajor	$4,680 - $17,043	33%
Ambetter (Centene)	$24,284	173%
+ 4 smaller / regional plans	$5,400 - $15,383

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 21,270), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Morris Hospital & Healthcare Centers is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Morris Hospital & Healthcare Centers

Compare: Hip or knee replacement (inpatient stay) at other IL hospitals

Blessing Hospital · Quincy $12,226
Alexian Brothers Medical Center 1 · Elk Grove Village $12,827
St Alexius Medical Center · Hoffman Estates $13,048
University of Illinois Hospital and Clinics · Chicago $13,087
Crawford Memorial Hospital · Robinson $13,322
Northwestern Medicine Delnor Community Hospital · Geneva $14,316
Edward Hospital · Naperville $14,765
Northwest Community Hospital 1 · Arlington Heights $14,777

Insurance negotiated median for the same procedure, sorted lowest first.