facebook tracking Diabetes with complications cost in Illinois: 55 hospitals compared (DRG 638)

Diabetes with complications in Illinois

What 55 hospitals in Illinois charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.

DRG 638 Inpatient 2024 Medicare data
Average charge $35,389 Hospital list price billed
Average payment $8,823 Medicare + patient + other payers
Medicare paid $6,162 Average per stay
State rank #31 of 47 1 = lowest average payment

Hospitals in Illinois billed an average of $35,389 for diabetes with complications, about 4.0 times the average total payment of $8,823. That payment is 4% below the U.S. average of $9,215.

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 $8,823Billed $35,389

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

Illinois hospitals: diabetes 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 67 $33,107 $9,517 $6,108
Northwest Community HospitalArlington Heights 59 $23,062 $6,779 $5,423
Silver Cross HospitalJoliet 55 $17,491 $6,824 $5,232
Advocate Christ Hospital & Medical CenterOak Lawn 41 $37,654 $9,736 $6,804
Central Dupage HospitalWinfield 41 $43,887 $10,031 $6,286
Carle Foundation HospitalUrbana 39 $37,768 $8,982 $5,909
Memorial Medical CenterSpringfield 39 $42,653 $8,499 $5,980
Palos Community HospitalPalos Heights 37 $24,679 $6,522 $4,576
Northwestern Memorial HospitalChicago 36 $45,722 $12,499 $7,427
Advocate Lutheran General HospitalPark Ridge 33 $41,790 $8,925 $7,101
The University of Chicago Medical CenterChicago 32 $54,941 $13,882 $8,106
Elmhurst Memorial HospitalElmhurst 31 $31,379 $8,057 $5,457
Advocate Condell Medical CenterLibertyville 31 $42,362 $10,433 $5,181
Provena St Joseph Medical CenterJoliet 28 $46,243 $7,819 $5,589
Memorial HospitalBelleville 27 $31,094 $6,577 $5,489
Copley Memorial HospitalAurora 26 $35,165 $8,990 $5,574
Sarah Bush Lincoln Health CenterMattoon 26 $31,056 $6,642 $5,512
Advocate Trinity HospitalChicago 25 $35,917 $7,529 $5,731
Northwestern Medicine McHenryMcHenry 25 $30,618 $6,897 $5,865
Rush University Medical CenterChicago 25 $28,296 $12,899 $9,181
Lake Forest HospitalLake Forest 25 $47,476 $8,186 $6,654
Little Company of Mary HospitalEvergreen Park 25 $27,066 $7,647 $6,481
Edward HospitalNaperville 23 $38,024 $7,516 $4,664
Loyola University Medical CenterMaywood 23 $55,508 $16,425 $7,397
Resurrection Medical CenterChicago 22 $54,959 $8,526 $6,866
St Johns HospitalSpringfield 20 $29,559 $8,472 $5,705
Decatur Memorial HospitalDecatur 20 $32,212 $7,361 $6,047
Sherman HospitalElgin 19 $37,092 $9,109 $5,951
Franciscan Health Olympia & Chicago HeightsOlympia Fields 19 $34,453 $10,161 $8,008
Macneal HospitalBerwyn 18 $48,935 $12,805 $7,004
Rush Oak Park HospitalOak Park 18 $22,357 $7,023 $5,639
Adventist la Grange Memorial HospitalLa Grange 18 $26,961 $12,511 $4,602
Saint Francis Medical CenterPeoria 17 $41,457 $8,354 $6,620
Alton Memorial HospitalAlton 16 $35,653 $8,204 $5,838
Swedish Covenant HospitalChicago 16 $34,428 $9,385 $7,398
University of Illinois Hospital and ClinicsChicago 15 $38,421 $15,016 $10,288
St Elizabeth HospitalBelleville 15 $38,289 $7,818 $5,771
Community First Medical CenterChicago 15 $34,388 $7,577 $6,436
Kishwaukee Community HospitalDekalb 15 $32,415 $7,068 $5,762
OSF Sacred Heart Medical CenterDanville 14 $37,655 $6,640 $5,357
Alexian Brothers Medical CenterElk Grove Village 14 $36,134 $7,355 $5,409
St Alexius Medical CenterSchaumburg 14 $34,751 $8,350 $5,759
Blessing HospitalQuincy 13 $35,419 $8,030 $5,315
Bromenn Healthcare SystemNormal 13 $26,429 $8,354 $5,749
St Anthonys Memorial HospitalEffingham 12 $19,456 $7,596 $7,052
St Marys HospitalCentralia 12 $21,898 $7,257 $6,441
Good Samaritan Regional Hlth CenterMt Vernon 12 $28,617 $6,672 $5,720
Memorial Hospital of CarbondaleCarbondale 12 $28,871 $7,308 $6,240
South Shore HospitalChicago 12 $45,067 $7,775 $6,687
Ingalls Memorial HospitalHarvey 12 $48,374 $8,148 $6,643
Trinity Rock IslandRock Island 12 $17,461 $7,336 $5,125
Advocate Good Samaritan HospitalDowners Grove 12 $34,107 $6,864 $5,633
Herrin HospitalHerrin 11 $21,573 $8,648 $4,984
Holy Cross HospitalChicago 11 $38,375 $8,879 $7,840
Swedish American HospitalRockford 11 $50,745 $7,217 $5,846
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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

Palos Community HospitalPalos Heights, IL$6,522
Memorial HospitalBelleville, IL$6,577
OSF Sacred Heart Medical CenterDanville, IL$6,640
Sarah Bush Lincoln Health CenterMattoon, IL$6,642
Good Samaritan Regional Hlth CenterMt Vernon, IL$6,672

Diabetes with complications in other states

Questions

How much does diabetes with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 55 hospitals in Illinois was billed at $35,389 on average, while the average total payment was $8,823, of which Medicare paid $6,162. 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 4.0 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.