facebook tracking Bone diseases and arthropathies without major complications cost in Illinois: 19 hospitals compared (DRG 554)

Bone diseases and arthropathies without major complications in Illinois

What 19 hospitals in Illinois charged and were paid for a Medicare hospital stay for bone diseases and arthropathies without major complications (DRG 554), from 2024 Medicare claims.

DRG 554 Inpatient 2024 Medicare data
Average charge $31,523 Hospital list price billed
Average payment $7,906 Medicare + patient + other payers
Medicare paid $5,663 Average per stay
State rank #11 of 19 1 = lowest average payment

Hospitals in Illinois billed an average of $31,523 for bone diseases and arthropathies without major complications, about 4.0 times the average total payment of $7,906. That payment is 10% below the U.S. average of $8,815.

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 $7,906Billed $31,523

About 25¢ 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: bone diseases and arthropathies 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
Northwest Community HospitalArlington Heights 40 $18,281 $6,191 $5,048
Evanston HospitalEvanston 30 $27,677 $7,987 $5,581
Advocate Christ Hospital & Medical CenterOak Lawn 30 $30,290 $9,261 $6,221
Advocate Lutheran General HospitalPark Ridge 19 $31,697 $8,197 $6,437
Palos Community HospitalPalos Heights 18 $22,808 $5,585 $4,134
Elmhurst Memorial HospitalElmhurst 15 $36,105 $6,319 $4,904
The University of Chicago Medical CenterChicago 14 $48,604 $13,512 $8,099
Lake Forest HospitalLake Forest 14 $42,592 $7,499 $5,792
Central Dupage HospitalWinfield 13 $34,987 $7,252 $6,122
Loyola University Medical CenterMaywood 13 $38,541 $13,167 $6,949
Northwestern Memorial HospitalChicago 13 $32,843 $9,416 $6,832
Advocate Good Samaritan HospitalDowners Grove 13 $27,982 $6,212 $5,201
Saint Francis Medical CenterPeoria 12 $47,304 $8,868 $5,987
Memorial HospitalBelleville 12 $25,087 $8,579 $4,242
Provena St Joseph Medical CenterJoliet 11 $38,214 $6,462 $5,150
Carle Foundation HospitalUrbana 11 $33,129 $7,246 $6,042
Resurrection Medical CenterChicago 11 $37,441 $7,581 $5,864
Advocate Condell Medical CenterLibertyville 11 $40,156 $6,477 $5,139
Advocate Good Shepherd HospitalBarrington 11 $22,607 $5,911 $4,279
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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$5,585
Advocate Good Shepherd HospitalBarrington, IL$5,911
Northwest Community HospitalArlington Heights, IL$6,191
Advocate Good Samaritan HospitalDowners Grove, IL$6,212
Elmhurst Memorial HospitalElmhurst, IL$6,319

Bone diseases and arthropathies without major complications in other states

Questions

How much does bone diseases and arthropathies without major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for bone diseases and arthropathies without major complications (DRG 554) at 19 hospitals in Illinois was billed at $31,523 on average, while the average total payment was $7,906, of which Medicare paid $5,663. 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 4.0 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.