CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Edward Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,849
about 1.3× the $14,044 Medicare rate · typically $14,449–$22,309
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,765
Below the fair price — a good deal
about $3,084 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $17,849 This hospital $14,765

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

On the higher side — 6 of 8 other IL hospitals charge less.

Cheapest $12,226 Priciest $14,934

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 $17,849 (about 1.3× the $14,044 Medicare rate). Edward Hospital charges insurers about $14,765 — below the fair price — a good deal. Located in Naperville, 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 $14,765 - $22,975 105%
Blue Cross Blue Shieldmajor $14,765 - $23,683 105%
Aetnamajor $14,765 - $17,629 105%
Cignamajor $14,765 105%
Humanamajor $14,765 105%
Devoted Health $14,765 105%
Meridian $14,765 105%
Molina $14,765 105%
WellCare $14,765 105%
+ 3 smaller / regional plans $14,765

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Facility Profile & Credentials

  • Address: 801 South Washington, Naperville, IL 60540
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals