Digestive malignancy with complications in Illinois
What 17 hospitals in Illinois charged and were paid for a Medicare hospital stay for digestive malignancy with complications (DRG 375), from 2024 Medicare claims.
Average charge
$51,186
Hospital list price billed
Average payment
$11,382
Medicare + patient + other payers
Medicare paid
$8,682
Average per stay
State rank
#8 of 20
1 = lowest average payment
Hospitals in Illinois billed an average of $51,186 for digestive malignancy with complications, about 4.5 times the average total payment of $11,382. That payment is 13% below the U.S. average of $13,131.
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 $11,382Billed $51,186
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: digestive malignancy 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 | 35 | $33,610 | $10,329 | $8,700 |
| Northwest Community HospitalArlington Heights | 27 | $33,051 | $9,564 | $7,230 |
| Edward HospitalNaperville | 24 | $46,521 | $8,166 | $6,806 |
| The University of Chicago Medical CenterChicago | 23 | $69,497 | $16,863 | $12,976 |
| Rush University Medical CenterChicago | 21 | $49,617 | $17,556 | $12,364 |
| Saint Francis Medical CenterPeoria | 19 | $63,187 | $10,576 | $8,319 |
| Palos Community HospitalPalos Heights | 16 | $46,952 | $10,102 | $6,353 |
| Carle Foundation HospitalUrbana | 16 | $54,901 | $13,298 | $6,559 |
| Elmhurst Memorial HospitalElmhurst | 16 | $59,843 | $9,072 | $7,283 |
| Northwestern Memorial HospitalChicago | 16 | $66,233 | $13,836 | $10,531 |
| Provena St Joseph Medical CenterJoliet | 12 | $67,516 | $9,155 | $7,725 |
| Northwestern Medicine McHenryMcHenry | 12 | $56,201 | $9,585 | $8,291 |
| Silver Cross HospitalJoliet | 12 | $33,116 | $8,799 | $7,439 |
| Central Dupage HospitalWinfield | 12 | $70,983 | $10,005 | $8,509 |
| Loyola University Medical CenterMaywood | 12 | $42,505 | $15,173 | $11,432 |
| Advocate Good Samaritan HospitalDowners Grove | 12 | $41,713 | $8,581 | $7,212 |
| Methodist Medical Center of IllinoisPeoria | 11 | $66,706 | $10,856 | $8,337 |
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
| Edward HospitalNaperville, IL | $8,166 |
|---|---|
| Advocate Good Samaritan HospitalDowners Grove, IL | $8,581 |
| Silver Cross HospitalJoliet, IL | $8,799 |
| Elmhurst Memorial HospitalElmhurst, IL | $9,072 |
| Provena St Joseph Medical CenterJoliet, IL | $9,155 |
Highest
| Rush University Medical CenterChicago, IL | $17,556 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $16,863 |
| Loyola University Medical CenterMaywood, IL | $15,173 |
| Northwestern Memorial HospitalChicago, IL | $13,836 |
| Carle Foundation HospitalUrbana, IL | $13,298 |
Digestive malignancy with complications in other states
Questions
How much does digestive malignancy with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for digestive malignancy with complications (DRG 375) at 17 hospitals in Illinois was billed at $51,186 on average, while the average total payment was $11,382, of which Medicare paid $8,682. 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.