CMS Price Transparency Data

Total knee replacement

Facility: Saint Joseph Hospital-Elgin

Billing Code: 27447 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$13,539

about 1.0× the $13,117 Medicare rate · typically $8,355–$16,343

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,691

About the fair price

about $152 over the fair price · 1.0× Medicare

Medicare pays $13,117 Fair price $13,539 This hospital $13,691 Cash price $13,690 Hospital's list price $46,200

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 $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 knee replacement is about $13,539 (about 1.0× the $13,117 Medicare rate). Saint Joseph Hospital-Elgin charges insurers about $13,691, or about $13,690 in cash — about the fair price. Located in Elgin, 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	$4,339 - $14,375	33%
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%
+ 9 smaller / regional plans	$1,278 - $21,221

Government programs also on file: Medicare, Medicaid, Military & VA.

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 (about 13,690), 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 Saint Joseph Hospital-Elgin 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 Saint Joseph Hospital-Elgin

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.