CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Crawford Memorial Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$19,635

about 1.4× the $14,044 Medicare rate · typically $10,021–$31,347

modeled estimate · not a bill or quote

What this hospital charges insurers

$13,322

Below the fair price — a good deal

about $6,313 under the fair price · 0.9× Medicare

Medicare pays $14,044 Fair price $19,635 This hospital $13,322 Cash price $51,426 Hospital's list price $64,282

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

A typical price — 4 charge more and 4 charge less, among the 9 IL hospitals compared.

Cheapest $12,226 Priciest $14,934

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,635 (about 1.4× the $14,044 Medicare rate). Crawford Memorial Hospital charges insurers about $13,322, or about $51,426 in cash — below the fair price — a good deal. Located in Robinson, IL.

What each insurance company pays

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

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor	$2,673	19%
+ 1 smaller / regional plan	$47,171

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 51,426), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Crawford Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Crawford Memorial 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
Northwestern Medicine Delnor Community Hospital · Geneva $14,316
Edward Hospital · Naperville $14,765
Northwest Community Hospital 1 · Arlington Heights $14,777
Morris Hospital & Healthcare Centers · Morris $14,934

Insurance negotiated median for the same procedure, sorted lowest first.