CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Swedish Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,607
about 1.4× the $14,044 Medicare rate · typically $14,946–$25,094
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,966
About the fair price
about $641 under the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $19,607 This hospital $18,966

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 $18,966

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 $19,607 (about 1.4× the $14,044 Medicare rate). Swedish Hospital charges insurers about $18,966 — about the fair price. Located in Chicago, 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 $16,879 - $18,966 120%
Blue Cross Blue Shieldmajor $14,759 - $19,934 105%
Aetnamajor $18,966 - $28,449 135%
Cignamajor $18,966 135%
Humanamajor $18,966 135%
Meridian $18,966 135%
+ 3 smaller / regional plans $18,966

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: 5145 N California Ave, Chicago, IL 60625
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals