CMS Price Transparency Data

Total knee replacement

Facility: HSHS St Elizabeth's Hospital

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$9,980
about 0.8× the $13,117 Medicare rate · typically $6,550–$14,177
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,365
Above the fair price
about $4,385 over the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $9,980 This hospital $14,365 Cash price $12,676 Hospital's list price $17,605

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 $14,365

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 $9,980 (about 0.8× the $13,117 Medicare rate). HSHS St Elizabeth's Hospital charges insurers about $14,365, or about $12,676 in cash — above the fair price. Located in O Fallon, 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 $9,980. 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 $14,137 - $17,605 108%
Blue Cross Blue Shieldmajor $14,365 - $17,605 110%
Aetnamajor $11,532 - $14,365 88%
Cignamajor $13,908 - $17,605 106%
Humanamajor $14,365 110%
HealthLink $13,996 - $17,605 107%
HealthPartners $14,365 110%
Meridian $9,050 - $13,575 69%
Molina $8,639 - $15,036 66%
+ 18 smaller / regional plans $4,930 - $17,605
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals