CMS Price Transparency Data

Total hip replacement

Facility: Presence St Marys Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$12,921
about 1.0× the $13,117 Medicare rate · typically $8,479–$13,746
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,691
About the fair price
about $770 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $12,921 This hospital $13,691 Cash price $13,690 Hospital's list price $35,386

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 $2,564 Priciest $13,691

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

A fair price for a Total hip replacement is about $12,921 (about 1.0× the $13,117 Medicare rate). Presence St Marys Hospital charges insurers about $13,691, or about $13,690 in cash — about the fair price. Located in Kankakee, 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 $13,691 - $30,270 104%
Blue Cross Blue Shieldmajor $8,228 - $19,167 63%
Aetnamajor $2,846 - $14,375 22%
Cignamajor $4,550 - $13,691 35%
Humanamajor $8,228 - $15,060 63%
Ambetter (Centene) $22,179 169%
Devoted Health $13,691 104%
Health Net $16,429 125%
HealthPartners $13,691 - $15,744 104%
Meridian $8,639 - $14,375 66%
Molina $8,639 - $20,536 66%
WellCare $13,691 104%
+ 10 smaller / regional plans $1,204 - $21,221
Government programs also on file: Medicare, Medicaid, Military & VA.

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Facility Profile & Credentials

  • Address: 500 W Court St, Kankakee, IL 60901
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals