CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Rush University Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,839
about 1.5× the $14,044 Medicare rate · typically $15,024–$26,980
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,382
Above the fair price
about $3,543 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $20,839 This hospital $24,382 Cash price $34,864 Hospital's list price $69,729

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 $24,382

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 $20,839 (about 1.5× the $14,044 Medicare rate). Rush University Medical Center charges insurers about $24,382, or about $34,864 in cash — above the fair price. Located in Chicago, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $20,839. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $8,890 - $31,053 63%
Blue Cross Blue Shieldmajor $23,002 - $37,997 164%
Aetnamajor $23,002 - $37,859 164%
Cignamajor $20,012 - $37,714 142%
Humanamajor $23,002 164%
Ambetter (Centene) $31,053 221%
Devoted Health $23,002 164%
Meridian $24,152 172%
Molina $23,922 - $31,283 170%
WellCare $23,002 164%
+ 1 smaller / regional plan $24,382

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: 1653 West Congress Parkway, Chicago, IL 60612
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals