CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: OSF Saint Paul Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$16,163
about 1.2× the $14,044 Medicare rate · typically $10,187–$31,946
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,969
About the fair price
about $1,194 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $16,163 This hospital $14,969

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 $14,969

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 $16,163 (about 1.2× the $14,044 Medicare rate). OSF Saint Paul Medical Center charges insurers about $14,969 — about the fair price. Located in Mendota, IL.

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $12,571 90%
Aetnamajor $17,368 124%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1401 E 12Th Street, Mendota, IL 61342
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals