CMS Price Transparency Data

Total knee replacement

Facility: Uchicago Medicine Adventhealth Hinsdale

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$15,650

about 1.2× the $13,117 Medicare rate · typically $9,923–$20,775

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,859

About the fair price

about $791 under the fair price · 1.1× Medicare

Medicare pays $13,117 Fair price $15,650 This hospital $14,859

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 $2,563 Priciest $14,859

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Total knee replacement is about $15,650 (about 1.2× the $13,117 Medicare rate). Uchicago Medicine Adventhealth Hinsdale charges insurers about $14,859 — about the fair price. Located in Hinsdale, 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	$6,594 - $13,896	50%
Blue Cross Blue Shieldmajor	$13,469 - $16,510	103%
Aetnamajor	$9,500 - $15,272	72%
Cignamajor	$14,171	108%
Ambetter (Centene)	$22,288	170%
Meridian	$14,446	110%
Molina	$20,637	157%
+ 1 smaller / regional plan	$17,198 - $21,325

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, 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 CPT code on your bill matches exactly: 27447.

Insurance Before you use insurance

Call your insurance company to confirm Uchicago Medicine Adventhealth Hinsdale is in-network.
Ask your insurer whether prior approval is required for CPT code 27447.
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 Uchicago Medicine Adventhealth Hinsdale

Compare: Total knee replacement at other IL hospitals

Blessing Hospital · Quincy $2,563
OSF Saint Anthony's Health Center · Alton $4,140
Trinity Rock Island · Rock Island $4,167
Morrison Community Hospital · Morrison $5,849
Edward Hospital · Naperville $6,678
Northwest Community Hospital 1 · Arlington Heights $7,505
Elmhurst Memorial Hospital · Elmhurst $8,847
Northshore University Healthsystem - Evanston Hospital · Evanston $10,156

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