Price AtlasInteractive atlas · All states · techysurgeon.comThe Carle Foundation Hospital: what a joint replacement costs
Urbana, IL 61801 · CMS Certification Number 140091. 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 The Carle Foundation Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,199 | $71,597 | 4.7× | $11,979 |
| Shoulder replacement | — | — | — | $16,840 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,646 | 2.1× | $28,881–$42,436 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $42,436 | 2.8× | 1 |
| UnitedHealthcare | $34,431 | 2.3× | 1 |
| Aetna | $30,862 | 2.0× | 1 |
| BCBS IL | $28,881 | 1.9× | 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: 3.2% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 316 beds
Illinois requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay The Carle Foundation Hospital for a knee or hip replacement?
In 2024 the average total payment to The Carle Foundation Hospital for an inpatient hip or knee replacement stay was $15,199 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,979 per outpatient case (APC 5115, 279 cases).
What is The Carle Foundation Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $71,597, 4.7× 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 The Carle Foundation Hospital?
Yes for Medicare facility payments. Champaign Surgicenter, LLC, an orthopedic surgery center 5.1 mi away, is paid about $8,550 by Medicare for a knee replacement (CPT 27447), $6,649 less than an inpatient stay at The Carle Foundation Hospital. Not every patient is a surgery-center candidate.
How does The Carle Foundation Hospital compare with other Illinois hospitals?
The Carle Foundation Hospital's average total payment per Medicare stay is higher than 56% of the 45 Illinois hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay The Carle Foundation 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 $32,646 across 4 insurers, ranging from $28,881 to $42,436.