Disorders of the biliary tract with complications in Illinois
What 24 hospitals in Illinois charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Average charge
$51,361
Hospital list price billed
Average payment
$10,398
Medicare + patient + other payers
Medicare paid
$7,425
Average per stay
State rank
#25 of 40
1 = lowest average payment
Hospitals in Illinois billed an average of $51,361 for disorders of the biliary tract with complications, about 4.9 times the average total payment of $10,398. That payment is 5% below the U.S. average of $10,996.
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 $10,398Billed $51,361
About 20¢ 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 the biliary tract 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 | $42,577 | $9,866 | $8,049 |
| Saint Francis Medical CenterPeoria | 35 | $73,073 | $11,671 | $7,762 |
| Northwest Community HospitalArlington Heights | 30 | $28,263 | $8,128 | $6,559 |
| Palos Community HospitalPalos Heights | 28 | $48,527 | $8,233 | $5,810 |
| Edward HospitalNaperville | 25 | $63,132 | $7,632 | $6,457 |
| Silver Cross HospitalJoliet | 23 | $28,757 | $10,023 | $6,342 |
| Rush University Medical CenterChicago | 22 | $55,806 | $17,049 | $11,082 |
| Carle Foundation HospitalUrbana | 21 | $51,473 | $9,237 | $7,746 |
| Central Dupage HospitalWinfield | 20 | $56,891 | $12,850 | $7,389 |
| Saint Anthony Medical CenterRockford | 18 | $51,000 | $8,877 | $7,287 |
| Northwestern Medicine McHenryMcHenry | 16 | $55,616 | $9,844 | $7,048 |
| Lake Forest HospitalLake Forest | 16 | $76,717 | $14,908 | $7,539 |
| Memorial Medical CenterSpringfield | 16 | $42,142 | $10,990 | $6,825 |
| Advocate Condell Medical CenterLibertyville | 16 | $50,832 | $8,215 | $6,880 |
| Advocate Good Shepherd HospitalBarrington | 16 | $41,197 | $8,564 | $6,023 |
| Elmhurst Memorial HospitalElmhurst | 13 | $60,793 | $8,227 | $6,846 |
| Advocate Good Samaritan HospitalDowners Grove | 13 | $44,723 | $8,129 | $6,994 |
| The University of Chicago Medical CenterChicago | 12 | $83,675 | $19,813 | $10,279 |
| St Elizabeth HospitalBelleville | 12 | $42,647 | $8,324 | $7,259 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 12 | $45,823 | $11,036 | $8,889 |
| Delnor Community HospitalGeneva | 12 | $56,871 | $12,991 | $6,743 |
| Swedish American HospitalRockford | 12 | $66,089 | $9,339 | $7,693 |
| St Johns HospitalSpringfield | 11 | $36,507 | $9,108 | $7,754 |
| Little Company of Mary HospitalEvergreen Park | 11 | $38,023 | $9,137 | $8,555 |
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 | $7,632 |
|---|---|
| Northwest Community HospitalArlington Heights, IL | $8,128 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $8,129 |
| Advocate Condell Medical CenterLibertyville, IL | $8,215 |
| Elmhurst Memorial HospitalElmhurst, IL | $8,227 |
Highest
| The University of Chicago Medical CenterChicago, IL | $19,813 |
|---|---|
| Rush University Medical CenterChicago, IL | $17,049 |
| Lake Forest HospitalLake Forest, IL | $14,908 |
| Delnor Community HospitalGeneva, IL | $12,991 |
| Central Dupage HospitalWinfield, IL | $12,850 |
Disorders of the biliary tract with complications in other states
Questions
How much does disorders of the biliary tract with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 24 hospitals in Illinois was billed at $51,361 on average, while the average total payment was $10,398, of which Medicare paid $7,425. 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 4.9 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.