Hip or knee replacement (inpatient stay)
Facility: University of Illinois Hospital and Clinics
Billing Code: 470 (MS-DRG)
- CPT Billing Code: 470
- Insurance Median: $3,012
- Cash Discount Price: $66,926
- vs. Medicare Baseline: 0.21x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $14,044.15 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $2,025 - $13,087 | 14% |
| Caterpillar | $2,075 | 15% |
| Aetna | $2,347 - $27,790 | 17% |
| Dolton Medical Associates | $3,012 | 21% |
| Fox Valey Medicine Ltd | $3,012 | 21% |
| Franciscan Hammond Clinic Llc | $3,012 | 21% |
| Humboldt Park Health Partners | $3,012 | 21% |
| Lake County Physician Associates | $3,012 | 21% |
| Mac Neal Health Providers | $3,012 | 21% |
| Mercy Physician Association | $3,012 | 21% |
| Northshore Physician Association | $3,012 | 21% |
| Northwest Primary Care Alliance | $3,012 | 21% |
| Oak West Primary Care Alliance | $3,012 | 21% |
| Physician Care Network Inc | $3,012 | 21% |
| Physicians Health Association Of Il | $3,012 | 21% |
| Resurrection Phys Provider Group | $3,012 | 21% |
| Sinai Medical Group | $3,012 | 21% |
| Southwest Physician Group Ltd | $3,012 | 21% |
| St Anthony Health Network | $3,012 | 21% |
| The University Of Chicago Medical Center | $3,012 | 21% |
| Uic Physician Group | $3,012 | 21% |
| Unified Physicians Network | $3,012 | 21% |
| West Suburban Health Providers | $3,012 | 21% |
| Coventry | $13,087 - $27,790 | 93% |
| Health Alliance | $13,087 | 93% |
| Longevity Health Plan | $13,087 | 93% |
| Medicare (plans) | $13,087 | 93% |
| Wellcare | $13,087 | 93% |