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Carle Health Methodist Hospital: what a joint replacement costs

Peoria, IL 61636 · CMS Certification Number 140209. 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.

Surgery center nearby
$8,266
Springfield Clinic Peoria ASC, 4.1 mi
Outpatient here
$11,395
Medicare allowed amount, 14 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Carle Health Methodist Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,395
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,940—$11,014–$24,6745
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS IL$24,674—1
UnitedHealthcare$22,715—1
Aetna$20,940—1
Cigna$17,188—1
HealthLink$11,014—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

Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 485 beds

Illinois requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Carle Health Methodist Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,395 per outpatient hip or knee replacement case (APC 5115, 14 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Carle Health Methodist Hospital?

Yes for Medicare facility payments. Springfield Clinic Peoria ASC, an orthopedic surgery center 4.1 mi away, is paid about $8,266 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Carle Health Methodist 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 $20,940 across 5 insurers, ranging from $11,014 to $24,674.