Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Illinois
What 15 hospitals in Illinois charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.
Average charge
$379,508
Hospital list price billed
Average payment
$89,234
Medicare + patient + other payers
Medicare paid
$66,689
Average per stay
State rank
#31 of 37
1 = lowest average payment
Hospitals in Illinois billed an average of $379,508 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 4.3 times the average total payment of $89,234. That payment is 7% above the U.S. average of $83,705.
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 $89,234Billed $379,508
About 24¢ 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: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
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 | 201 | $431,072 | $87,941 | $71,450 |
| The University of Chicago Medical CenterChicago | 57 | $371,324 | $100,184 | $75,599 |
| Loyola University Medical CenterMaywood | 46 | $263,233 | $92,512 | $74,313 |
| Central Dupage HospitalWinfield | 40 | $443,034 | $68,620 | $56,370 |
| Saint Francis Medical CenterPeoria | 27 | $391,026 | $110,382 | $50,972 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 27 | $366,672 | $115,692 | $70,491 |
| Rush University Medical CenterChicago | 23 | $264,972 | $99,071 | $81,340 |
| Edward HospitalNaperville | 19 | $572,811 | $132,178 | $69,176 |
| Advocate Good Samaritan HospitalDowners Grove | 19 | $300,660 | $80,295 | $43,642 |
| Advocate Lutheran General HospitalPark Ridge | 17 | $275,015 | $72,632 | $59,001 |
| Palos Community HospitalPalos Heights | 16 | $316,450 | $52,604 | $51,278 |
| Silver Cross HospitalJoliet | 15 | $179,752 | $68,650 | $49,178 |
| Evanston HospitalEvanston | 14 | $293,583 | $66,626 | $64,032 |
| St Johns HospitalSpringfield | 14 | $368,317 | $62,434 | $59,954 |
| Elmhurst Memorial HospitalElmhurst | 11 | $429,163 | $91,102 | $43,412 |
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 | $52,604 |
|---|---|
| St Johns HospitalSpringfield, IL | $62,434 |
| Evanston HospitalEvanston, IL | $66,626 |
| Central Dupage HospitalWinfield, IL | $68,620 |
| Silver Cross HospitalJoliet, IL | $68,650 |
Highest
| Edward HospitalNaperville, IL | $132,178 |
|---|---|
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $115,692 |
| Saint Francis Medical CenterPeoria, IL | $110,382 |
| The University of Chicago Medical CenterChicago, IL | $100,184 |
| Rush University Medical CenterChicago, IL | $99,071 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Illinois?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 15 hospitals in Illinois was billed at $379,508 on average, while the average total payment was $89,234, of which Medicare paid $66,689. 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 4.3 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.