Price AtlasInteractive atlas · All states · techysurgeon.comCarle Health Proctor Hospital: what a joint replacement costs
Peoria, IL 61614 · CMS Certification Number 140013. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Carle Health Proctor Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,162 | $95,430 | 7.3× | $12,022 |
| Shoulder replacement | $17,308 | $136,855 | 7.9× | $17,185 |
| Hip replacement after a fracture (DRG 522) | $14,407 | $83,720 | 5.8× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,245 | 1.6× | $17,119–$24,674 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS IL | $24,674 | 1.9× | 1 |
| UnitedHealthcare | $22,715 | 1.7× | 1 |
| HealthLink | $21,245 | 1.6× | 1 |
| Aetna | $20,940 | 1.6× | 1 |
| Cigna | $17,119 | 1.3× | 1 |
From the hospital's price-transparency file (2026-04-15); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-15); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 305 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Carle Health Proctor Hospital for a knee or hip replacement?
In 2024 the average total payment to Carle Health Proctor Hospital for an inpatient hip or knee replacement stay was $13,162 (MS-DRG 470, 30 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,022 per outpatient case (APC 5115, 662 cases).
What is Carle Health Proctor Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $95,430, 7.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Carle Health Proctor Hospital?
Yes for Medicare facility payments. Springfield Clinic Peoria ASC, an orthopedic surgery center same ZIP away, is paid about $8,266 by Medicare for a knee replacement (CPT 27447), $4,896 less than an inpatient stay at Carle Health Proctor Hospital. Not every patient is a surgery-center candidate.
How does Carle Health Proctor Hospital compare with other Illinois hospitals?
Carle Health Proctor Hospital's average total payment per Medicare stay is lower than 98% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Carle Health Proctor Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $21,245 across 5 insurers, ranging from $17,119 to $24,674.