What 4 hospitals in Illinois charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.
Hospitals in Illinois billed an average of $93,193 for carotid artery stent procedures without complications, about 5.9 times the average total payment of $15,688. That payment is about the same as the U.S. average of $15,778.
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.
About 17¢ 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:
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 |
|---|---|---|---|---|
| Provena St Joseph Medical CenterJoliet | 17 | $71,918 | $13,590 | $12,136 |
| Central Dupage HospitalWinfield | 17 | $133,299 | $15,478 | $12,104 |
| Advocate Lutheran General HospitalPark Ridge | 14 | $54,309 | $18,712 | $14,224 |
| Saint Francis Medical CenterPeoria | 13 | $110,443 | $15,447 | $13,732 |
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.
| Provena St Joseph Medical CenterJoliet, IL | $13,590 |
|---|---|
| Saint Francis Medical CenterPeoria, IL | $15,447 |
| Central Dupage HospitalWinfield, IL | $15,478 |
| Advocate Lutheran General HospitalPark Ridge, IL | $18,712 |
| Advocate Lutheran General HospitalPark Ridge, IL | $18,712 |
|---|---|
| Central Dupage HospitalWinfield, IL | $15,478 |
| Saint Francis Medical CenterPeoria, IL | $15,447 |
| Provena St Joseph Medical CenterJoliet, IL | $13,590 |
In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 4 hospitals in Illinois was billed at $93,193 on average, while the average total payment was $15,688, of which Medicare paid $12,946. Your own cost depends on your insurance, deductible and the hospital.
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 5.9 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.