facebook tracking Coronary bypass with cardiac catheterization or open ablation with major complications cost in Illinois: 15 hospitals compared (DRG 233)

Coronary bypass with cardiac catheterization or open ablation with major complications in Illinois

What 15 hospitals in Illinois charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233), from 2024 Medicare claims.

DRG 233 Inpatient 2024 Medicare data
Average charge $343,766 Hospital list price billed
Average payment $76,273 Medicare + patient + other payers
Medicare paid $59,149 Average per stay
State rank #28 of 38 1 = lowest average payment

Hospitals in Illinois billed an average of $343,766 for coronary bypass with cardiac catheterization or open ablation with major complications, about 4.5 times the average total payment of $76,273. That payment is 10% above the U.S. average of $69,514.

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 $76,273Billed $343,766

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: coronary bypass with cardiac catheterization or open ablation 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
Saint Francis Medical CenterPeoria 30 $391,965 $74,794 $55,804
Advocate Christ Hospital & Medical CenterOak Lawn 29 $319,624 $101,647 $66,060
Northwestern Memorial HospitalChicago 26 $445,147 $94,662 $62,649
Northwestern Medicine McHenryMcHenry 24 $387,314 $72,875 $58,959
St Johns HospitalSpringfield 19 $342,584 $61,525 $59,013
Silver Cross HospitalJoliet 18 $186,869 $56,891 $55,531
Palos Community HospitalPalos Heights 17 $393,050 $61,164 $59,630
Carle Foundation HospitalUrbana 15 $245,218 $53,919 $48,331
Central Dupage HospitalWinfield 15 $446,815 $68,668 $52,765
Northwest Community HospitalArlington Heights 15 $278,709 $58,315 $57,011
Rush University Medical CenterChicago 14 $268,304 $97,038 $86,092
Advocate Good Samaritan HospitalDowners Grove 14 $264,657 $60,920 $48,906
The University of Chicago Medical CenterChicago 13 $440,147 $130,732 $60,908
Advocate Good Shepherd HospitalBarrington 13 $242,381 $68,085 $52,002
Blessing HospitalQuincy 11 $409,143 $61,677 $59,098
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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

Carle Foundation HospitalUrbana, IL$53,919
Silver Cross HospitalJoliet, IL$56,891
Northwest Community HospitalArlington Heights, IL$58,315
Advocate Good Samaritan HospitalDowners Grove, IL$60,920
Palos Community HospitalPalos Heights, IL$61,164

Coronary bypass with cardiac catheterization or open ablation with major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233) at 15 hospitals in Illinois was billed at $343,766 on average, while the average total payment was $76,273, of which Medicare paid $59,149. 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.