Back and neck procedures except spinal fusion with complications in Illinois
What 10 hospitals in Illinois charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion with complications (DRG 519), from 2024 Medicare claims.
Average charge
$84,424
Hospital list price billed
Average payment
$21,783
Medicare + patient + other payers
Medicare paid
$14,700
Average per stay
State rank
#21 of 26
1 = lowest average payment
Hospitals in Illinois billed an average of $84,424 for back and neck procedures except spinal fusion with complications, about 3.9 times the average total payment of $21,783. That payment is 6% above the U.S. average of $20,542.
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 $21,783Billed $84,424
About 26¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Illinois:
Illinois hospitals: back and neck procedures except spinal fusion 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 |
|---|---|---|---|---|
| Evanston HospitalEvanston | 24 | $71,236 | $22,480 | $15,063 |
| Rush University Medical CenterChicago | 23 | $67,457 | $27,836 | $20,332 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 21 | $76,788 | $24,056 | $13,099 |
| Hinsdale HospitalHinsdale | 20 | $63,759 | $20,563 | $12,429 |
| Saint Francis Medical CenterPeoria | 17 | $130,105 | $25,212 | $13,429 |
| Advocate Lutheran General HospitalPark Ridge | 17 | $51,220 | $21,787 | $15,336 |
| Central Dupage HospitalWinfield | 15 | $131,807 | $15,308 | $14,002 |
| Memorial Medical CenterSpringfield | 11 | $121,271 | $16,651 | $14,902 |
| Delnor Community HospitalGeneva | 11 | $85,158 | $15,744 | $14,016 |
| Advocate Good Samaritan HospitalDowners Grove | 11 | $79,351 | $20,186 | $11,741 |
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
| Central Dupage HospitalWinfield, IL | $15,308 |
|---|---|
| Delnor Community HospitalGeneva, IL | $15,744 |
| Memorial Medical CenterSpringfield, IL | $16,651 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $20,186 |
| Hinsdale HospitalHinsdale, IL | $20,563 |
Highest
| Rush University Medical CenterChicago, IL | $27,836 |
|---|---|
| Saint Francis Medical CenterPeoria, IL | $25,212 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $24,056 |
| Evanston HospitalEvanston, IL | $22,480 |
| Advocate Lutheran General HospitalPark Ridge, IL | $21,787 |
Back and neck procedures except spinal fusion with complications in other states
Questions
How much does back and neck procedures except spinal fusion with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion with complications (DRG 519) at 10 hospitals in Illinois was billed at $84,424 on average, while the average total payment was $21,783, of which Medicare paid $14,700. 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 3.9 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.