facebook tracking Endovascular cardiac valve replacement and supplement procedures without major complications cost in Illinois: 30 hospitals compared (DRG 267)

Endovascular cardiac valve replacement and supplement procedures without major complications in Illinois

What 30 hospitals in Illinois charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267), from 2024 Medicare claims.

DRG 267 Inpatient 2024 Medicare data
Average charge $206,982 Hospital list price billed
Average payment $42,162 Medicare + patient + other payers
Medicare paid $38,230 Average per stay
State rank #28 of 43 1 = lowest average payment

Hospitals in Illinois billed an average of $206,982 for endovascular cardiac valve replacement and supplement procedures without major complications, about 4.9 times the average total payment of $42,162. That payment is 4% below the U.S. average of $44,077.

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 $42,162Billed $206,982

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 without 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 173 $229,879 $39,919 $38,365
Advocate Lutheran General HospitalPark Ridge 113 $146,347 $44,876 $40,423
Saint Francis Medical CenterPeoria 110 $255,109 $42,780 $37,462
Loyola University Medical CenterMaywood 84 $132,875 $53,785 $45,859
Alexian Brothers Medical CenterElk Grove Village 81 $149,422 $35,864 $34,563
Advocate Christ Hospital & Medical CenterOak Lawn 80 $185,790 $45,170 $39,081
The University of Chicago Medical CenterChicago 71 $232,518 $58,889 $52,171
Rush University Medical CenterChicago 71 $175,904 $55,914 $53,484
Northwestern Memorial HospitalChicago 69 $312,873 $47,307 $43,601
St Johns HospitalSpringfield 67 $179,347 $37,883 $36,300
Advocate Good Samaritan HospitalDowners Grove 59 $176,408 $42,776 $31,904
St Elizabeth HospitalBelleville 55 $155,458 $35,543 $34,248
Advocate Good Shepherd HospitalBarrington 54 $173,221 $41,018 $30,940
Edward HospitalNaperville 51 $229,503 $37,325 $32,112
Northwest Community HospitalArlington Heights 50 $169,212 $34,594 $33,681
Carle Foundation HospitalUrbana 49 $193,703 $38,255 $35,751
Central Dupage HospitalWinfield 46 $465,429 $38,061 $36,819
Sherman HospitalElgin 44 $153,523 $35,868 $34,458
Trinity Rock IslandRock Island 42 $155,191 $40,406 $31,356
Memorial Medical CenterSpringfield 39 $187,678 $38,667 $37,069
Blessing HospitalQuincy 35 $341,304 $38,491 $37,028
Hinsdale HospitalHinsdale 35 $236,252 $37,670 $36,161
Provena St Joseph Medical CenterJoliet 32 $243,779 $34,819 $33,523
Saint Anthony Medical CenterRockford 25 $244,234 $36,048 $34,503
Memorial Hospital of CarbondaleCarbondale 24 $136,884 $35,899 $34,964
Methodist Medical Center of IllinoisPeoria 24 $263,793 $42,122 $40,179
Silver Cross HospitalJoliet 24 $137,758 $37,983 $31,801
Riverside Medical CenterKankakee 21 $179,942 $37,402 $35,874
OSF Heart of Mary Medical CenterUrbana 20 $250,098 $42,211 $32,073
Resurrection Medical CenterChicago 16 $220,251 $40,900 $39,229
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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

Northwest Community HospitalArlington Heights, IL$34,594
Provena St Joseph Medical CenterJoliet, IL$34,819
St Elizabeth HospitalBelleville, IL$35,543
Alexian Brothers Medical CenterElk Grove Village, IL$35,864
Sherman HospitalElgin, IL$35,868

Endovascular cardiac valve replacement and supplement procedures without major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures without major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267) at 30 hospitals in Illinois was billed at $206,982 on average, while the average total payment was $42,162, of which Medicare paid $38,230. 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.