CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Elmhurst Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,064
about 1.2× the $14,044 Medicare rate · typically $14,682–$20,508
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,291
Below the fair price — a good deal
about $1,773 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $17,064 This hospital $15,291

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 $12,226 Priciest $15,291

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 $17,064 (about 1.2× the $14,044 Medicare rate). Elmhurst Memorial Hospital charges insurers about $15,291 — below the fair price — a good deal. Located in Elmhurst, 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 $15,291 - $23,005 109%
Blue Cross Blue Shieldmajor $15,291 - $24,527 109%
Aetnamajor $15,291 - $28,496 109%
Cignamajor $15,291 109%
Humanamajor $15,291 109%
Devoted Health $15,291 109%
Meridian $15,291 109%
Molina $15,291 109%
WellCare $15,291 109%
+ 3 smaller / regional plans $15,291

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Facility Profile & Credentials

  • Address: 155 East Brush Hill Road, Elmhurst, IL 60126
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals