facebook tracking Coronary bypass without cardiac catheterization without major complications cost in Illinois: 20 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in Illinois

What 20 hospitals in Illinois charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $188,062 Hospital list price billed
Average payment $39,526 Medicare + patient + other payers
Medicare paid $28,662 Average per stay
State rank #30 of 42 1 = lowest average payment

Hospitals in Illinois billed an average of $188,062 for coronary bypass without cardiac catheterization without major complications, about 4.8 times the average total payment of $39,526. That payment is 4% above the U.S. average of $37,830.

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 $39,526Billed $188,062

About 21¢ 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 without 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
The University of Chicago Medical CenterChicago 57 $233,894 $60,782 $38,347
Memorial Medical CenterSpringfield 33 $183,153 $42,089 $24,414
St Johns HospitalSpringfield 32 $225,956 $33,274 $31,106
Silver Cross HospitalJoliet 32 $79,786 $31,844 $25,616
Trinity Rock IslandRock Island 29 $116,391 $28,614 $25,925
Advocate Good Samaritan HospitalDowners Grove 29 $145,825 $32,124 $25,070
Advocate Good Shepherd HospitalBarrington 27 $126,249 $31,194 $23,986
Blessing HospitalQuincy 26 $262,924 $32,149 $29,935
Central Dupage HospitalWinfield 25 $269,990 $30,296 $28,860
Loyola University Medical CenterMaywood 20 $159,739 $59,760 $33,169
Edward HospitalNaperville 19 $188,618 $41,813 $21,070
Northwestern Medicine McHenryMcHenry 17 $250,685 $44,445 $27,594
Elmhurst Memorial HospitalElmhurst 17 $209,165 $39,246 $22,559
Evanston HospitalEvanston 16 $145,822 $31,120 $28,814
Advocate Lutheran General HospitalPark Ridge 15 $196,828 $55,611 $28,155
Alexian Brothers Medical CenterElk Grove Village 15 $162,219 $30,210 $28,988
Advocate Christ Hospital & Medical CenterOak Lawn 12 $161,551 $41,340 $30,895
Saint Francis Medical CenterPeoria 11 $295,122 $36,545 $33,561
Carle Foundation HospitalUrbana 11 $193,756 $35,510 $27,214
St Elizabeth HospitalBelleville 11 $180,958 $29,489 $27,796
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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

Trinity Rock IslandRock Island, IL$28,614
St Elizabeth HospitalBelleville, IL$29,489
Alexian Brothers Medical CenterElk Grove Village, IL$30,210
Central Dupage HospitalWinfield, IL$30,296
Evanston HospitalEvanston, IL$31,120

Highest

Coronary bypass without cardiac catheterization without major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 20 hospitals in Illinois was billed at $188,062 on average, while the average total payment was $39,526, of which Medicare paid $28,662. 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 4.8 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.