Hip or knee replacement (inpatient stay)
Facility: Advocate Good Shepherd Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 IL hospitals we have prices for — worth calling around.
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 $20,505 (about 1.5× the $14,044 Medicare rate). Advocate Good Shepherd Hospital charges insurers about $28,720 — above the fair price. Located in Barrington, 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 $20,505. 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.
4 of 6 major insurers have a published price at this hospital
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 | $20,707 - $34,046 | 147% |
| Blue Cross Blue Shieldmajor | $18,540 - $34,763 | 132% |
| Aetnamajor | $30,764 | 219% |
| Cignamajor | $21,434 - $40,342 | 153% |
| Ambetter (Centene) | $26,872 | 191% |
| Molina | $26,872 | 191% |
| Oscar Health | $27,798 | 198% |
| + 1 smaller / regional plan | $35,582 |
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.
Other Procedures at Advocate Good Shepherd Hospital
Compare: Hip or knee replacement (inpatient stay) at other IL hospitals
- Blessing Hospital · Quincy $12,226
- Alexian Brothers Medical Center 1 · Elk Grove Village $12,827
- St Alexius Medical Center · Hoffman Estates $13,048
- University of Illinois Hospital and Clinics · Chicago $13,087
- Crawford Memorial Hospital · Robinson $13,322
- Northwestern Medicine Delnor Community Hospital · Geneva $14,316
- Edward Hospital · Naperville $14,765
- Northwest Community Hospital 1 · Arlington Heights $14,777
Insurance negotiated median for the same procedure, sorted lowest first.