CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Northwestern Medicine Kishwaukee Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,603
about 1.3× the $14,044 Medicare rate · typically $15,085–$27,283
modeled estimate · not a bill or quote
What this hospital charges insurers
$24,511
Above the fair price
about $5,908 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $18,603 This hospital $24,511 Cash price $64,532 Hospital's list price $92,188

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 $24,511

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 $18,603 (about 1.3× the $14,044 Medicare rate). Northwestern Medicine Kishwaukee Hospital charges insurers about $24,511, or about $64,532 in cash — above the fair price. Located in Dekalb, 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 $18,603. 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.

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

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser 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
Blue Cross Blue Shieldmajor $13,726 - $36,157 98%
Humanamajor $13,726 98%
+ 1 smaller / regional plan $13,726

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.

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Facility Profile & Credentials

  • Address: One Kish Hospital Drive, Dekalb, IL 60115
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals