facebook tracking Circulatory disorders except AMI, with cardiac catheterization with major complications cost in Illinois: 52 hospitals compared (DRG 286)

Circulatory disorders except AMI, with cardiac catheterization with major complications in Illinois

What 52 hospitals in Illinois charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.

DRG 286 Inpatient 2024 Medicare data
Average charge $100,221 Hospital list price billed
Average payment $22,194 Medicare + patient + other payers
Medicare paid $16,900 Average per stay
State rank #37 of 47 1 = lowest average payment

Hospitals in Illinois billed an average of $100,221 for circulatory disorders except ami, with cardiac catheterization with major complications, about 4.5 times the average total payment of $22,194. That payment is 1% above the U.S. average of $21,968.

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 $22,194Billed $100,221

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

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Illinois:

Illinois hospitals: circulatory disorders except ami, with cardiac catheterization with major 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 Christ Hospital & Medical CenterOak Lawn 140 $109,846 $25,186 $17,745
Northwestern Memorial HospitalChicago 139 $132,480 $27,402 $19,221
Evanston HospitalEvanston 95 $85,285 $19,414 $17,104
Lake Forest HospitalLake Forest 91 $123,223 $19,402 $16,181
The University of Chicago Medical CenterChicago 67 $173,790 $42,898 $22,700
Carle Foundation HospitalUrbana 60 $107,417 $19,143 $15,474
Saint Francis Medical CenterPeoria 57 $97,091 $20,273 $16,113
Loyola University Medical CenterMaywood 55 $142,397 $34,802 $22,187
Northwestern Medicine McHenryMcHenry 52 $95,634 $18,029 $14,879
Central Dupage HospitalWinfield 47 $114,785 $26,026 $15,144
Edward HospitalNaperville 45 $105,360 $23,103 $12,797
Silver Cross HospitalJoliet 44 $45,093 $16,661 $13,769
Palos Community HospitalPalos Heights 43 $74,170 $16,279 $13,811
Elmhurst Memorial HospitalElmhurst 43 $108,440 $17,090 $14,521
Rush University Medical CenterChicago 38 $73,764 $28,881 $23,741
Memorial Hospital of CarbondaleCarbondale 37 $68,298 $16,529 $15,197
Blessing HospitalQuincy 35 $128,085 $18,518 $16,473
Advocate Good Samaritan HospitalDowners Grove 35 $83,426 $17,423 $13,921
Northwest Community HospitalArlington Heights 31 $61,933 $17,622 $13,282
Advocate Trinity HospitalChicago 30 $76,287 $17,003 $15,150
Little Company of Mary HospitalEvergreen Park 30 $70,172 $18,673 $12,758
St Joseph Medical CenterBloomington 29 $57,340 $15,677 $13,492
St Elizabeth HospitalBelleville 29 $75,492 $16,346 $14,610
Advocate Lutheran General HospitalPark Ridge 29 $85,987 $20,686 $17,730
St Johns HospitalSpringfield 28 $76,340 $16,884 $15,230
Memorial Medical CenterSpringfield 28 $107,345 $21,259 $15,912
Alexian Brothers Medical CenterElk Grove Village 27 $92,568 $16,408 $15,345
Cgh Medical CenterSterling 26 $89,013 $15,955 $14,638
Advocate Condell Medical CenterLibertyville 26 $97,874 $16,341 $13,941
Sherman HospitalElgin 25 $87,697 $17,740 $13,644
Advocate Illinois Masonic Medical CenterChicago 25 $136,681 $28,246 $22,270
Methodist Medical Center of IllinoisPeoria 25 $90,700 $17,828 $15,517
University of Illinois Hospital and ClinicsChicago 21 $130,525 $42,688 $24,889
Swedish American HospitalRockford 21 $145,386 $18,677 $15,820
Provena St Joseph Medical CenterJoliet 20 $113,030 $16,080 $14,600
Memorial HospitalBelleville 20 $78,657 $15,788 $14,727
Swedish Covenant HospitalChicago 18 $82,000 $19,964 $17,583
Delnor Community HospitalGeneva 18 $84,398 $17,772 $15,885
John H Stroger Jr HospitalChicago 16 $51,512 $70,095 $65,150
St Alexius Medical CenterSchaumburg 16 $84,999 $18,207 $14,802
Rush Oak Park HospitalOak Park 15 $41,487 $15,474 $13,939
Hinsdale HospitalHinsdale 15 $47,373 $18,888 $14,649
Advocate Good Shepherd HospitalBarrington 15 $70,216 $17,494 $12,797
Copley Memorial HospitalAurora 14 $81,342 $24,722 $14,687
Macneal HospitalBerwyn 14 $86,295 $20,961 $17,570
OSF Heart of Mary Medical CenterUrbana 14 $79,470 $19,564 $13,483
Resurrection Medical CenterChicago 14 $128,131 $19,186 $16,730
Decatur Memorial HospitalDecatur 14 $53,397 $17,118 $11,625
Alton Memorial HospitalAlton 13 $72,652 $16,360 $14,956
Riverside Medical CenterKankakee 13 $56,343 $19,174 $14,730
Saint Anthony Medical CenterRockford 12 $79,332 $16,400 $14,641
Heartland Regional Medical CenterMarion 11 $163,610 $14,831 $13,792
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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

Heartland Regional Medical CenterMarion, IL$14,831
Rush Oak Park HospitalOak Park, IL$15,474
St Joseph Medical CenterBloomington, IL$15,677
Memorial HospitalBelleville, IL$15,788
Cgh Medical CenterSterling, IL$15,955

Circulatory disorders except AMI, with cardiac catheterization with major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 52 hospitals in Illinois was billed at $100,221 on average, while the average total payment was $22,194, of which Medicare paid $16,900. 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 4.5 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.