facebook tracking Cervical spinal fusion without complications cost in Illinois: 3 hospitals compared (DRG 473)

Cervical spinal fusion without complications in Illinois

What 3 hospitals in Illinois charged and were paid for a Medicare hospital stay for cervical spinal fusion without complications (DRG 473), from 2024 Medicare claims.

DRG 473 Inpatient 2024 Medicare data
Average charge $91,811 Hospital list price billed
Average payment $27,053 Medicare + patient + other payers
Medicare paid $15,307 Average per stay
State rank #15 of 17 1 = lowest average payment

Hospitals in Illinois billed an average of $91,811 for cervical spinal fusion without complications, about 3.4 times the average total payment of $27,053. That payment is 30% above the U.S. average of $20,737.

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 $27,053Billed $91,811

About 29¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: cervical spinal fusion without 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
Memorial Medical CenterSpringfield 20 $85,574 $19,665 $17,949
Advocate Condell Medical CenterLibertyville 17 $74,435 $17,753 $16,120
Elmhurst Memorial HospitalElmhurst 16 $118,069 $46,169 $11,139
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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 Condell Medical CenterLibertyville, IL$17,753
Memorial Medical CenterSpringfield, IL$19,665
Elmhurst Memorial HospitalElmhurst, IL$46,169

Highest

Elmhurst Memorial HospitalElmhurst, IL$46,169
Memorial Medical CenterSpringfield, IL$19,665
Advocate Condell Medical CenterLibertyville, IL$17,753

Cervical spinal fusion without complications in other states

Questions

How much does cervical spinal fusion without complications cost in Illinois?

In 2024 Medicare data, a hospital stay for cervical spinal fusion without complications (DRG 473) at 3 hospitals in Illinois was billed at $91,811 on average, while the average total payment was $27,053, of which Medicare paid $15,307. 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 3.4 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.