Complications of treatment with major complications in Illinois
What 22 hospitals in Illinois charged and were paid for a Medicare hospital stay for complications of treatment with major complications (DRG 919), from 2024 Medicare claims.
Average charge
$79,529
Hospital list price billed
Average payment
$20,638
Medicare + patient + other payers
Medicare paid
$15,561
Average per stay
State rank
#24 of 34
1 = lowest average payment
Hospitals in Illinois billed an average of $79,529 for complications of treatment with major complications, about 3.9 times the average total payment of $20,638. That payment is 2% below the U.S. average of $21,165.
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 $20,638Billed $79,529
About 26¢ 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:
Illinois hospitals: complications of treatment 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 |
|---|---|---|---|---|
| Northwestern Memorial HospitalChicago | 38 | $176,792 | $35,501 | $29,912 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 32 | $50,623 | $20,698 | $13,511 |
| Evanston HospitalEvanston | 29 | $49,433 | $16,012 | $14,516 |
| Saint Francis Medical CenterPeoria | 29 | $70,745 | $18,357 | $13,585 |
| Northwest Community HospitalArlington Heights | 29 | $33,945 | $12,735 | $11,947 |
| The University of Chicago Medical CenterChicago | 27 | $133,954 | $26,328 | $19,229 |
| Rush University Medical CenterChicago | 27 | $75,111 | $26,795 | $20,658 |
| Carle Foundation HospitalUrbana | 25 | $92,904 | $24,907 | $12,799 |
| Advocate Lutheran General HospitalPark Ridge | 23 | $69,015 | $18,381 | $15,788 |
| Northwestern Medicine McHenryMcHenry | 21 | $57,138 | $15,673 | $11,810 |
| Saint Anthony Medical CenterRockford | 20 | $71,757 | $15,745 | $12,459 |
| Elmhurst Memorial HospitalElmhurst | 17 | $76,864 | $13,514 | $12,844 |
| Edward HospitalNaperville | 17 | $75,912 | $14,503 | $11,071 |
| Palos Community HospitalPalos Heights | 15 | $50,451 | $11,596 | $11,243 |
| Silver Cross HospitalJoliet | 15 | $34,372 | $12,515 | $11,862 |
| Advocate Good Samaritan HospitalDowners Grove | 14 | $85,229 | $13,351 | $12,402 |
| Lake Forest HospitalLake Forest | 13 | $86,692 | $29,633 | $13,730 |
| Advocate Illinois Masonic Medical CenterChicago | 13 | $70,371 | $22,630 | $15,945 |
| Loyola University Medical CenterMaywood | 13 | $77,551 | $34,116 | $14,269 |
| Memorial Medical CenterSpringfield | 12 | $66,022 | $15,644 | $11,771 |
| Resurrection Medical CenterChicago | 11 | $104,997 | $15,620 | $13,878 |
| University of Illinois Hospital and ClinicsChicago | 11 | $73,658 | $27,181 | $21,659 |
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
| Palos Community HospitalPalos Heights, IL | $11,596 |
|---|---|
| Silver Cross HospitalJoliet, IL | $12,515 |
| Northwest Community HospitalArlington Heights, IL | $12,735 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $13,351 |
| Elmhurst Memorial HospitalElmhurst, IL | $13,514 |
Highest
| Northwestern Memorial HospitalChicago, IL | $35,501 |
|---|---|
| Loyola University Medical CenterMaywood, IL | $34,116 |
| Lake Forest HospitalLake Forest, IL | $29,633 |
| University of Illinois Hospital and ClinicsChicago, IL | $27,181 |
| Rush University Medical CenterChicago, IL | $26,795 |
Complications of treatment with major complications in other states
Questions
How much does complications of treatment with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for complications of treatment with major complications (DRG 919) at 22 hospitals in Illinois was billed at $79,529 on average, while the average total payment was $20,638, of which Medicare paid $15,561. 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 3.9 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.