facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Illinois: 15 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Illinois

What 15 hospitals in Illinois charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $251,051 Hospital list price billed
Average payment $59,282 Medicare + patient + other payers
Medicare paid $45,051 Average per stay
State rank #27 of 37 1 = lowest average payment

Hospitals in Illinois billed an average of $251,051 for coronary bypass without cardiac catheterization with major complications, about 4.2 times the average total payment of $59,282. That payment is 5% above the U.S. average of $56,401.

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 $59,282Billed $251,051

About 24¢ 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 without 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
Northwestern Memorial HospitalChicago 63 $348,952 $59,927 $50,568
Advocate Christ Hospital & Medical CenterOak Lawn 43 $233,468 $79,082 $45,126
Silver Cross HospitalJoliet 38 $115,646 $40,486 $39,242
Central Dupage HospitalWinfield 36 $335,806 $59,402 $41,998
The University of Chicago Medical CenterChicago 33 $329,526 $80,615 $56,775
Rush University Medical CenterChicago 27 $187,233 $85,048 $58,776
St Johns HospitalSpringfield 22 $253,535 $50,346 $40,895
Saint Francis Medical CenterPeoria 20 $306,655 $57,814 $37,767
Northwestern Medicine McHenryMcHenry 19 $288,056 $41,956 $40,302
Advocate Good Samaritan HospitalDowners Grove 19 $171,932 $45,630 $35,286
Alexian Brothers Medical CenterElk Grove Village 18 $190,412 $46,575 $35,717
Loyola University Medical CenterMaywood 17 $259,252 $69,604 $57,700
Hinsdale HospitalHinsdale 15 $168,553 $39,100 $37,099
Trinity Rock IslandRock Island 13 $155,388 $40,872 $39,491
Advocate Good Shepherd HospitalBarrington 12 $157,923 $44,971 $35,029
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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

Hinsdale HospitalHinsdale, IL$39,100
Silver Cross HospitalJoliet, IL$40,486
Trinity Rock IslandRock Island, IL$40,872
Northwestern Medicine McHenryMcHenry, IL$41,956
Advocate Good Shepherd HospitalBarrington, IL$44,971

Coronary bypass without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 15 hospitals in Illinois was billed at $251,051 on average, while the average total payment was $59,282, of which Medicare paid $45,051. 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 4.2 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.