Diabetes with major complications in Illinois
What 49 hospitals in Illinois charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$56,413
Hospital list price billed
Average payment
$13,016
Medicare + patient + other payers
Medicare paid
$10,391
Average per stay
State rank
#24 of 43
1 = lowest average payment
Hospitals in Illinois billed an average of $56,413 for diabetes with major complications, about 4.3 times the average total payment of $13,016. That payment is 7% below the U.S. average of $14,037.
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 $13,016Billed $56,413
About 23¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Illinois:
Illinois hospitals: diabetes 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 |
|---|---|---|---|---|
| Evanston HospitalEvanston | 52 | $53,763 | $12,951 | $10,820 |
| Palos Community HospitalPalos Heights | 34 | $37,308 | $9,424 | $8,273 |
| Saint Francis Medical CenterPeoria | 33 | $76,206 | $13,236 | $10,806 |
| Memorial HospitalBelleville | 33 | $65,135 | $10,696 | $8,793 |
| Silver Cross HospitalJoliet | 33 | $30,312 | $11,444 | $7,848 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 32 | $59,274 | $16,097 | $11,118 |
| Northwestern Memorial HospitalChicago | 31 | $83,486 | $21,020 | $12,564 |
| Copley Memorial HospitalAurora | 29 | $67,040 | $13,467 | $11,450 |
| Swedish American HospitalRockford | 29 | $68,511 | $11,764 | $10,673 |
| The University of Chicago Medical CenterChicago | 26 | $90,201 | $19,443 | $15,078 |
| Northwestern Medicine McHenryMcHenry | 26 | $64,045 | $11,173 | $9,678 |
| Advocate Condell Medical CenterLibertyville | 26 | $70,318 | $12,090 | $9,776 |
| Central Dupage HospitalWinfield | 23 | $61,676 | $14,070 | $9,931 |
| Advocate Lutheran General HospitalPark Ridge | 22 | $54,203 | $13,526 | $11,840 |
| Advocate Trinity HospitalChicago | 20 | $51,230 | $12,421 | $9,340 |
| Little Company of Mary HospitalEvergreen Park | 20 | $42,332 | $13,360 | $10,288 |
| Blessing HospitalQuincy | 19 | $74,576 | $11,879 | $10,189 |
| Decatur Memorial HospitalDecatur | 19 | $36,194 | $13,612 | $9,672 |
| Saint Anthony Medical CenterRockford | 19 | $42,604 | $11,259 | $9,730 |
| Herrin HospitalHerrin | 18 | $42,544 | $10,149 | $9,514 |
| Rush University Medical CenterChicago | 18 | $42,361 | $18,056 | $14,746 |
| Carle Foundation HospitalUrbana | 17 | $88,003 | $14,633 | $13,085 |
| Resurrection Medical CenterChicago | 17 | $66,670 | $12,960 | $11,725 |
| Ingalls Memorial HospitalHarvey | 16 | $46,282 | $11,978 | $10,873 |
| Alexian Brothers Medical CenterElk Grove Village | 16 | $48,834 | $10,748 | $10,212 |
| St Alexius Medical CenterSchaumburg | 16 | $47,742 | $11,553 | $10,286 |
| Advocate Good Shepherd HospitalBarrington | 16 | $42,068 | $9,038 | $7,712 |
| Sherman HospitalElgin | 15 | $56,519 | $12,534 | $8,771 |
| Memorial Medical CenterSpringfield | 15 | $55,620 | $11,582 | $9,855 |
| Delnor Community HospitalGeneva | 15 | $46,992 | $13,313 | $9,335 |
| Edward HospitalNaperville | 15 | $66,699 | $9,907 | $9,037 |
| Memorial Hospital of CarbondaleCarbondale | 14 | $53,008 | $11,446 | $9,012 |
| Elmhurst Memorial HospitalElmhurst | 14 | $60,457 | $10,706 | $9,657 |
| Provena St Joseph Medical CenterJoliet | 13 | $65,141 | $14,954 | $8,174 |
| Adventist la Grange Memorial HospitalLa Grange | 13 | $36,645 | $11,958 | $9,295 |
| Loyola University Medical CenterMaywood | 13 | $59,776 | $18,914 | $12,629 |
| Good Samaritan Regional Hlth CenterMt Vernon | 12 | $36,752 | $13,216 | $8,784 |
| Rhc St Francis HospitalEvanston | 12 | $57,980 | $16,042 | $13,441 |
| Swedish Covenant HospitalChicago | 12 | $36,502 | $13,471 | $11,713 |
| Lake Forest HospitalLake Forest | 12 | $55,072 | $12,018 | $10,701 |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | 12 | $45,987 | $14,125 | $10,653 |
| Riverside Medical CenterKankakee | 12 | $35,299 | $13,126 | $6,910 |
| St Anthonys Memorial HospitalEffingham | 11 | $36,598 | $12,240 | $11,350 |
| St Johns HospitalSpringfield | 11 | $66,818 | $12,333 | $10,847 |
| Macneal HospitalBerwyn | 11 | $58,218 | $14,485 | $11,691 |
| OSF Saint Elizabeth Mdl CtrOttawa | 11 | $42,962 | $11,337 | $10,743 |
| St Elizabeth HospitalBelleville | 11 | $80,465 | $11,530 | $10,021 |
| Northwest Community HospitalArlington Heights | 11 | $32,792 | $10,563 | $9,821 |
| Advocate Good Samaritan HospitalDowners Grove | 11 | $47,554 | $10,065 | $9,202 |
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
| Advocate Good Shepherd HospitalBarrington, IL | $9,038 |
|---|---|
| Palos Community HospitalPalos Heights, IL | $9,424 |
| Edward HospitalNaperville, IL | $9,907 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $10,065 |
| Herrin HospitalHerrin, IL | $10,149 |
Highest
| Northwestern Memorial HospitalChicago, IL | $21,020 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $19,443 |
| Loyola University Medical CenterMaywood, IL | $18,914 |
| Rush University Medical CenterChicago, IL | $18,056 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $16,097 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 49 hospitals in Illinois was billed at $56,413 on average, while the average total payment was $13,016, of which Medicare paid $10,391. 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 4.3 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.