facebook tracking Carotid artery stent procedures with complications cost in Illinois: 4 hospitals compared (DRG 035)

Carotid artery stent procedures with complications in Illinois

What 4 hospitals in Illinois charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.

DRG 035 Inpatient 2024 Medicare data
Average charge $105,531 Hospital list price billed
Average payment $23,084 Medicare + patient + other payers
Medicare paid $19,739 Average per stay
State rank #21 of 23 1 = lowest average payment

Hospitals in Illinois billed an average of $105,531 for carotid artery stent procedures with complications, about 4.6 times the average total payment of $23,084. That payment is 17% above the U.S. average of $19,727.

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 $23,084Billed $105,531

About 22¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: carotid artery stent procedures 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
Advocate Lutheran General HospitalPark Ridge 28 $69,131 $22,356 $18,781
Rush University Medical CenterChicago 16 $94,502 $30,355 $25,284
Javon Bea HospitalRockford 13 $161,214 $20,648 $18,219
Central Dupage HospitalWinfield 12 $144,844 $17,726 $16,230
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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

Central Dupage HospitalWinfield, IL$17,726
Javon Bea HospitalRockford, IL$20,648
Advocate Lutheran General HospitalPark Ridge, IL$22,356
Rush University Medical CenterChicago, IL$30,355

Highest

Rush University Medical CenterChicago, IL$30,355
Advocate Lutheran General HospitalPark Ridge, IL$22,356
Javon Bea HospitalRockford, IL$20,648
Central Dupage HospitalWinfield, IL$17,726

Carotid artery stent procedures with complications in other states

Questions

How much does carotid artery stent procedures with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 4 hospitals in Illinois was billed at $105,531 on average, while the average total payment was $23,084, of which Medicare paid $19,739. 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 4.6 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.