Digestive malignancy with major complications in Illinois
What 21 hospitals in Illinois charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.
Average charge
$79,320
Hospital list price billed
Average payment
$19,787
Medicare + patient + other payers
Medicare paid
$15,665
Average per stay
State rank
#13 of 28
1 = lowest average payment
Hospitals in Illinois billed an average of $79,320 for digestive malignancy with major complications, about 4.0 times the average total payment of $19,787. That payment is 15% below the U.S. average of $23,203.
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 $19,787Billed $79,320
About 25¢ 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 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 | 41 | $63,119 | $16,856 | $15,069 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 30 | $63,875 | $21,333 | $16,957 |
| Northwestern Memorial HospitalChicago | 30 | $116,932 | $23,610 | $18,579 |
| Rush University Medical CenterChicago | 27 | $75,909 | $29,034 | $22,938 |
| Saint Francis Medical CenterPeoria | 22 | $113,558 | $19,692 | $16,790 |
| Northwest Community HospitalArlington Heights | 22 | $50,745 | $14,460 | $13,644 |
| Northwestern Medicine McHenryMcHenry | 21 | $80,871 | $15,703 | $14,112 |
| Edward HospitalNaperville | 19 | $86,092 | $19,461 | $12,418 |
| Palos Community HospitalPalos Heights | 18 | $57,904 | $17,915 | $10,878 |
| The University of Chicago Medical CenterChicago | 17 | $102,009 | $27,788 | $21,911 |
| Delnor Community HospitalGeneva | 17 | $100,513 | $29,390 | $13,642 |
| Central Dupage HospitalWinfield | 17 | $106,038 | $23,631 | $13,577 |
| Carle Foundation HospitalUrbana | 16 | $96,494 | $16,820 | $15,210 |
| Silver Cross HospitalJoliet | 16 | $33,152 | $13,989 | $13,275 |
| Lake Forest HospitalLake Forest | 15 | $82,962 | $17,934 | $14,065 |
| Alexian Brothers Medical CenterElk Grove Village | 14 | $62,394 | $14,549 | $13,586 |
| Advocate Lutheran General HospitalPark Ridge | 13 | $72,608 | $19,319 | $17,190 |
| Advocate Condell Medical CenterLibertyville | 12 | $67,783 | $14,517 | $13,752 |
| Swedish American HospitalRockford | 12 | $92,918 | $18,380 | $14,005 |
| Advocate Trinity HospitalChicago | 11 | $76,565 | $16,329 | $15,587 |
| Hinsdale HospitalHinsdale | 11 | $54,756 | $15,717 | $14,585 |
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
| Silver Cross HospitalJoliet, IL | $13,989 |
|---|---|
| Northwest Community HospitalArlington Heights, IL | $14,460 |
| Advocate Condell Medical CenterLibertyville, IL | $14,517 |
| Alexian Brothers Medical CenterElk Grove Village, IL | $14,549 |
| Northwestern Medicine McHenryMcHenry, IL | $15,703 |
Highest
| Delnor Community HospitalGeneva, IL | $29,390 |
|---|---|
| Rush University Medical CenterChicago, IL | $29,034 |
| The University of Chicago Medical CenterChicago, IL | $27,788 |
| Central Dupage HospitalWinfield, IL | $23,631 |
| Northwestern Memorial HospitalChicago, IL | $23,610 |
Digestive malignancy with major complications in other states
Questions
How much does digestive malignancy with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 21 hospitals in Illinois was billed at $79,320 on average, while the average total payment was $19,787, of which Medicare paid $15,665. 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.