facebook tracking Cervical spinal fusion with complications cost in Illinois: 18 hospitals compared (DRG 472)

Cervical spinal fusion with complications in Illinois

What 18 hospitals in Illinois charged and were paid for a Medicare hospital stay for cervical spinal fusion with complications (DRG 472), from 2024 Medicare claims.

DRG 472 Inpatient 2024 Medicare data
Average charge $128,879 Hospital list price billed
Average payment $30,426 Medicare + patient + other payers
Medicare paid $21,466 Average per stay
State rank #32 of 38 1 = lowest average payment

Hospitals in Illinois billed an average of $128,879 for cervical spinal fusion with complications, about 4.2 times the average total payment of $30,426. That payment is 8% above the U.S. average of $28,116.

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 $30,426Billed $128,879

About 24¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: cervical 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
Rush University Medical CenterChicago 41 $89,374 $38,467 $28,691
Elmhurst Memorial HospitalElmhurst 39 $120,283 $30,795 $17,893
Saint Francis Medical CenterPeoria 35 $183,256 $30,526 $21,620
Evanston HospitalEvanston 26 $99,022 $24,589 $22,758
Edward HospitalNaperville 26 $146,151 $29,395 $16,852
Northwestern Memorial HospitalChicago 24 $171,074 $35,630 $24,039
Memorial Medical CenterSpringfield 19 $142,892 $23,532 $21,613
St Elizabeth HospitalBelleville 18 $97,416 $28,877 $16,975
Northwest Community HospitalArlington Heights 17 $88,111 $21,219 $19,587
Advocate Condell Medical CenterLibertyville 16 $93,918 $26,725 $17,389
Central Dupage HospitalWinfield 14 $235,130 $35,226 $19,538
Advocate Good Samaritan HospitalDowners Grove 14 $103,129 $21,166 $19,640
Hinsdale HospitalHinsdale 13 $127,009 $23,221 $21,527
Loyola University Medical CenterMaywood 13 $111,783 $42,471 $27,194
Advocate Good Shepherd HospitalBarrington 13 $44,457 $26,170 $14,879
The University of Chicago Medical CenterChicago 12 $170,900 $36,037 $31,793
Northwestern Medicine McHenryMcHenry 12 $200,860 $42,401 $19,334
St Johns HospitalSpringfield 11 $107,767 $23,564 $21,648
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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

Advocate Good Samaritan HospitalDowners Grove, IL$21,166
Northwest Community HospitalArlington Heights, IL$21,219
Hinsdale HospitalHinsdale, IL$23,221
Memorial Medical CenterSpringfield, IL$23,532
St Johns HospitalSpringfield, IL$23,564

Cervical spinal fusion with complications in other states

Questions

How much does cervical spinal fusion with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 18 hospitals in Illinois was billed at $128,879 on average, while the average total payment was $30,426, of which Medicare paid $21,466. 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 4.2 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.