facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Illinois: 12 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in Illinois

What 12 hospitals in Illinois charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $68,955 Hospital list price billed
Average payment $18,175 Medicare + patient + other payers
Medicare paid $12,670 Average per stay
State rank #12 of 29 1 = lowest average payment

Hospitals in Illinois billed an average of $68,955 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 3.8 times the average total payment of $18,175. That payment is 4% below the U.S. average of $18,910.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $18,175Billed $68,955

About 26¢ was paid for every $1 hospitals in Illinois billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Illinois:

Illinois hospitals: amputation of lower limb for endocrine, nutritional and metabolic disorders with complications

Every Illinois hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Carle Foundation HospitalUrbana 22 $78,444 $16,520 $12,860
Memorial Medical CenterSpringfield 18 $78,135 $16,810 $14,490
Saint Francis Medical CenterPeoria 16 $106,781 $18,628 $15,778
Northwest Community HospitalArlington Heights 15 $48,449 $13,929 $12,515
Palos Community HospitalPalos Heights 14 $51,920 $13,033 $11,636
Trinity Rock IslandRock Island 14 $32,369 $13,841 $12,675
Evanston HospitalEvanston 13 $62,613 $15,444 $11,466
St Joseph Medical CenterBloomington 13 $67,065 $17,843 $11,476
Memorial HospitalBelleville 13 $59,520 $13,529 $11,897
St Elizabeth HospitalBelleville 13 $56,535 $14,894 $13,628
Advocate Condell Medical CenterLibertyville 13 $81,947 $14,793 $11,700
Edward HospitalNaperville 13 $92,127 $51,791 $10,481
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Lowest and highest payments in Illinois

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Palos Community HospitalPalos Heights, IL$13,033
Memorial HospitalBelleville, IL$13,529
Trinity Rock IslandRock Island, IL$13,841
Northwest Community HospitalArlington Heights, IL$13,929
Advocate Condell Medical CenterLibertyville, IL$14,793

Highest

Edward HospitalNaperville, IL$51,791
Saint Francis Medical CenterPeoria, IL$18,628
St Joseph Medical CenterBloomington, IL$17,843
Memorial Medical CenterSpringfield, IL$16,810
Carle Foundation HospitalUrbana, IL$16,520

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 12 hospitals in Illinois was billed at $68,955 on average, while the average total payment was $18,175, of which Medicare paid $12,670. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Illinois, average charges were 3.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.