Hip or knee replacement (inpatient stay)
Facility: Carle Health Pekin Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 IL hospitals we have prices for — worth calling around.
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 $17,213 (about 1.2× the $14,044 Medicare rate). Carle Health Pekin Hospital charges insurers about $16,954 — about the fair price. Located in Pekin, 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
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 | $14,616 - $22,715 | 104% |
| Blue Cross Blue Shieldmajor | $14,616 - $25,924 | 104% |
| Aetnamajor | $14,616 - $20,940 | 104% |
| Cignamajor | $17,019 | 121% |
| Humanamajor | $14,616 | 104% |
| HealthLink | $21,245 - $23,795 | 151% |
| Meridian | $16,954 | 121% |
| Molina | $14,616 | 104% |
| WellCare | $14,616 | 104% |
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.
Other Procedures at Carle Health Pekin Hospital
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.