Disorders of pancreas except malignancy with complications in Illinois
What 15 hospitals in Illinois charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with complications (DRG 439), from 2024 Medicare claims.
Average charge
$36,974
Hospital list price billed
Average payment
$8,226
Medicare + patient + other payers
Medicare paid
$5,511
Average per stay
State rank
#15 of 37
1 = lowest average payment
Hospitals in Illinois billed an average of $36,974 for disorders of pancreas except malignancy with complications, about 4.5 times the average total payment of $8,226. That payment is 9% below the U.S. average of $9,024.
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 $8,226Billed $36,974
About 22¢ 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: disorders of pancreas except 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 |
|---|---|---|---|---|
| Saint Francis Medical CenterPeoria | 30 | $39,329 | $9,803 | $6,710 |
| Evanston HospitalEvanston | 18 | $38,591 | $10,241 | $5,488 |
| Northwest Community HospitalArlington Heights | 17 | $27,180 | $6,396 | $5,340 |
| Northwestern Medicine McHenryMcHenry | 16 | $43,364 | $7,115 | $4,957 |
| Palos Community HospitalPalos Heights | 15 | $33,285 | $6,154 | $4,278 |
| Carle Foundation HospitalUrbana | 15 | $43,231 | $7,542 | $6,262 |
| St Johns HospitalSpringfield | 14 | $31,322 | $7,340 | $6,067 |
| Memorial Medical CenterSpringfield | 14 | $33,733 | $7,357 | $5,863 |
| Silver Cross HospitalJoliet | 13 | $20,469 | $6,421 | $5,291 |
| Central Dupage HospitalWinfield | 13 | $39,882 | $10,245 | $5,320 |
| Edward HospitalNaperville | 12 | $36,228 | $11,520 | $4,104 |
| Bromenn Healthcare SystemNormal | 11 | $31,735 | $6,756 | $5,611 |
| Elmhurst Memorial HospitalElmhurst | 11 | $42,294 | $11,084 | $4,311 |
| Swedish American HospitalRockford | 11 | $54,545 | $7,598 | $6,221 |
| Advocate Good Samaritan HospitalDowners Grove | 11 | $40,785 | $6,450 | $5,255 |
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 | $6,154 |
|---|---|
| Northwest Community HospitalArlington Heights, IL | $6,396 |
| Silver Cross HospitalJoliet, IL | $6,421 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $6,450 |
| Bromenn Healthcare SystemNormal, IL | $6,756 |
Highest
| Edward HospitalNaperville, IL | $11,520 |
|---|---|
| Elmhurst Memorial HospitalElmhurst, IL | $11,084 |
| Central Dupage HospitalWinfield, IL | $10,245 |
| Evanston HospitalEvanston, IL | $10,241 |
| Saint Francis Medical CenterPeoria, IL | $9,803 |
Disorders of pancreas except malignancy with complications in other states
Questions
How much does disorders of pancreas except malignancy with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with complications (DRG 439) at 15 hospitals in Illinois was billed at $36,974 on average, while the average total payment was $8,226, of which Medicare paid $5,511. 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.