CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Presence Saint Joseph Hospital - Chicago

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$20,055
about 1.4× the $14,044 Medicare rate · typically $14,876–$28,536
modeled estimate · not a bill or quote
What this hospital charges insurers
$17,646
Below the fair price — a good deal
about $2,409 under the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $20,055 This hospital $17,646

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 $17,646

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 $20,055 (about 1.4× the $14,044 Medicare rate). Presence Saint Joseph Hospital - Chicago charges insurers about $17,646 — below the fair price — a good deal. Located in Chicago, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $16,042 - $21,656 114%
Blue Cross Blue Shieldmajor $16,042 - $20,052 114%
Aetnamajor $16,042 - $16,844 114%
Humanamajor $16,042 - $17,646 114%
Ambetter (Centene) $25,988 185%
Bright Health $20,052 143%
+ 1 smaller / regional plan $22,458
Government programs also on file: Medicare, Military & VA.

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Facility Profile & Credentials

  • Address: 2900 North Lake Shore Drive, Chicago, IL 60657
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals