facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Illinois: 19 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Illinois

What 19 hospitals in Illinois charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $286,316 Hospital list price billed
Average payment $56,839 Medicare + patient + other payers
Medicare paid $51,857 Average per stay
State rank #31 of 42 1 = lowest average payment

Hospitals in Illinois billed an average of $286,316 for endovascular cardiac valve replacement and supplement procedures with major complications, about 5.0 times the average total payment of $56,839. That payment is about the same as the U.S. average of $57,249.

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 $56,839Billed $286,316

About 20¢ 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: endovascular cardiac valve replacement and supplement procedures 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
Northwestern Memorial HospitalChicago 155 $322,607 $59,686 $57,049
Northwestern Medicine McHenryMcHenry 58 $237,959 $47,416 $45,992
Central Dupage HospitalWinfield 47 $475,195 $46,292 $45,459
Alexian Brothers Medical CenterElk Grove Village 43 $187,259 $47,358 $44,995
Evanston HospitalEvanston 36 $290,803 $60,124 $52,218
Advocate Christ Hospital & Medical CenterOak Lawn 34 $240,192 $65,412 $50,530
Rush University Medical CenterChicago 30 $231,947 $70,962 $66,656
Northwest Community HospitalArlington Heights 30 $183,413 $44,386 $43,733
The University of Chicago Medical CenterChicago 28 $455,170 $111,781 $71,896
Saint Francis Medical CenterPeoria 27 $365,271 $54,095 $51,152
Advocate Lutheran General HospitalPark Ridge 24 $170,273 $55,167 $49,588
Edward HospitalNaperville 23 $337,879 $48,671 $47,306
Silver Cross HospitalJoliet 18 $149,427 $44,288 $43,109
Advocate Good Samaritan HospitalDowners Grove 17 $202,331 $43,122 $42,251
St Johns HospitalSpringfield 15 $252,017 $50,659 $49,016
Loyola University Medical CenterMaywood 15 $265,267 $74,406 $64,340
Resurrection Medical CenterChicago 14 $288,559 $54,075 $52,982
St Elizabeth HospitalBelleville 14 $213,968 $41,450 $40,351
Advocate Good Shepherd HospitalBarrington 12 $213,742 $44,730 $43,642
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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

St Elizabeth HospitalBelleville, IL$41,450
Advocate Good Samaritan HospitalDowners Grove, IL$43,122
Silver Cross HospitalJoliet, IL$44,288
Northwest Community HospitalArlington Heights, IL$44,386
Advocate Good Shepherd HospitalBarrington, IL$44,730

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 19 hospitals in Illinois was billed at $286,316 on average, while the average total payment was $56,839, of which Medicare paid $51,857. 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 5.0 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.