facebook tracking Aortic and heart assist procedures except pulsation balloon without major complications cost in Illinois: 13 hospitals compared (DRG 269)

Aortic and heart assist procedures except pulsation balloon without major complications in Illinois

What 13 hospitals in Illinois charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.

DRG 269 Inpatient 2024 Medicare data
Average charge $200,086 Hospital list price billed
Average payment $38,039 Medicare + patient + other payers
Medicare paid $32,039 Average per stay
State rank #22 of 35 1 = lowest average payment

Hospitals in Illinois billed an average of $200,086 for aortic and heart assist procedures except pulsation balloon without major complications, about 5.3 times the average total payment of $38,039. That payment is 4% below the U.S. average of $39,522.

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 $38,039Billed $200,086

About 19¢ 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: aortic and heart assist procedures except pulsation balloon without major 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
Northwestern Memorial HospitalChicago 35 $283,078 $50,616 $39,736
Evanston HospitalEvanston 29 $179,826 $36,276 $34,374
Central Dupage HospitalWinfield 26 $332,010 $32,591 $31,085
Saint Francis Medical CenterPeoria 22 $188,524 $38,797 $31,081
Advocate Christ Hospital & Medical CenterOak Lawn 21 $156,988 $39,138 $31,434
Northwest Community HospitalArlington Heights 17 $102,092 $30,782 $24,718
Memorial Medical CenterSpringfield 15 $207,421 $36,243 $29,572
Memorial Hospital of CarbondaleCarbondale 15 $126,599 $31,090 $29,522
Edward HospitalNaperville 14 $256,316 $46,728 $27,787
Alexian Brothers Medical CenterElk Grove Village 12 $106,680 $30,996 $29,494
Loyola University Medical CenterMaywood 12 $126,585 $44,851 $41,472
Elmhurst Memorial HospitalElmhurst 11 $187,875 $32,260 $26,370
Advocate Good Samaritan HospitalDowners Grove 11 $147,388 $30,037 $28,403
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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

Advocate Good Samaritan HospitalDowners Grove, IL$30,037
Northwest Community HospitalArlington Heights, IL$30,782
Alexian Brothers Medical CenterElk Grove Village, IL$30,996
Memorial Hospital of CarbondaleCarbondale, IL$31,090
Elmhurst Memorial HospitalElmhurst, IL$32,260

Highest

Aortic and heart assist procedures except pulsation balloon without major complications in other states

Questions

How much does aortic and heart assist procedures except pulsation balloon without major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 13 hospitals in Illinois was billed at $200,086 on average, while the average total payment was $38,039, of which Medicare paid $32,039. 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 5.3 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.