facebook tracking Connective tissue disorders with complications cost in Illinois: 2 hospitals compared (DRG 546)

Connective tissue disorders with complications in Illinois

What 2 hospitals in Illinois charged and were paid for a Medicare hospital stay for connective tissue disorders with complications (DRG 546), from 2024 Medicare claims.

DRG 546 Inpatient 2024 Medicare data
Average charge $48,195 Hospital list price billed
Average payment $11,844 Medicare + patient + other payers
Medicare paid $9,049 Average per stay
Volume 28 Medicare hospital stays

Hospitals in Illinois billed an average of $48,195 for connective tissue disorders with complications, about 4.1 times the average total payment of $11,844. That payment is 26% below the U.S. average of $16,072.

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 $11,844Billed $48,195

About 25¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: connective tissue disorders 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
Evanston HospitalEvanston 14 $38,343 $10,759 $8,804
Northwestern Memorial HospitalChicago 14 $58,046 $12,930 $9,293
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Connective tissue disorders with complications in other states

Questions

How much does connective tissue disorders with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for connective tissue disorders with complications (DRG 546) at 2 hospitals in Illinois was billed at $48,195 on average, while the average total payment was $11,844, of which Medicare paid $9,049. 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 4.1 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.