Extensive operating room procedures unrelated to principal diagnosis with major complications in Illinois
What 33 hospitals in Illinois charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$193,912
Hospital list price billed
Average payment
$47,326
Medicare + patient + other payers
Medicare paid
$38,700
Average per stay
State rank
#31 of 42
1 = lowest average payment
Hospitals in Illinois billed an average of $193,912 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.1 times the average total payment of $47,326. That payment is about the same as the U.S. average of $47,051.
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 $47,326Billed $193,912
About 24¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 | 54 | $167,743 | $41,970 | $37,491 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 46 | $180,986 | $45,051 | $37,989 |
| Advocate Lutheran General HospitalPark Ridge | 43 | $167,634 | $45,997 | $38,342 |
| Northwestern Memorial HospitalChicago | 41 | $355,420 | $67,856 | $58,477 |
| Rush University Medical CenterChicago | 39 | $169,592 | $60,598 | $52,399 |
| Saint Francis Medical CenterPeoria | 38 | $234,843 | $46,101 | $39,857 |
| The University of Chicago Medical CenterChicago | 38 | $384,320 | $80,763 | $61,797 |
| Advocate Condell Medical CenterLibertyville | 31 | $196,917 | $54,085 | $30,320 |
| Loyola University Medical CenterMaywood | 29 | $206,868 | $65,978 | $46,064 |
| Advocate Good Samaritan HospitalDowners Grove | 28 | $141,708 | $40,100 | $29,376 |
| Silver Cross HospitalJoliet | 27 | $81,938 | $32,589 | $27,432 |
| St Johns HospitalSpringfield | 23 | $202,501 | $36,092 | $33,011 |
| Memorial Medical CenterSpringfield | 22 | $193,680 | $40,186 | $33,562 |
| Copley Memorial HospitalAurora | 20 | $165,608 | $38,749 | $33,565 |
| Elmhurst Memorial HospitalElmhurst | 20 | $169,334 | $31,098 | $30,078 |
| Central Dupage HospitalWinfield | 19 | $215,072 | $34,385 | $33,784 |
| St Elizabeth HospitalBelleville | 18 | $134,926 | $31,864 | $30,488 |
| Advocate Trinity HospitalChicago | 17 | $135,026 | $38,173 | $33,186 |
| Palos Community HospitalPalos Heights | 17 | $142,295 | $34,809 | $28,429 |
| Northwestern Medicine McHenryMcHenry | 17 | $150,065 | $36,412 | $34,635 |
| Alexian Brothers Medical CenterElk Grove Village | 17 | $168,711 | $32,966 | $31,883 |
| University of Illinois Hospital and ClinicsChicago | 16 | $235,652 | $76,172 | $65,595 |
| Blessing HospitalQuincy | 15 | $173,156 | $37,741 | $35,699 |
| Swedish American HospitalRockford | 15 | $237,975 | $36,162 | $34,168 |
| Sherman HospitalElgin | 14 | $134,101 | $40,424 | $31,402 |
| Carle Foundation HospitalUrbana | 13 | $159,007 | $37,099 | $34,468 |
| Memorial Hospital of CarbondaleCarbondale | 13 | $136,579 | $43,342 | $30,315 |
| Resurrection Medical CenterChicago | 12 | $209,119 | $38,644 | $36,448 |
| Edward HospitalNaperville | 12 | $200,004 | $31,486 | $30,126 |
| Northwest Community HospitalArlington Heights | 12 | $117,959 | $38,144 | $36,786 |
| Little Company of Mary HospitalEvergreen Park | 11 | $116,871 | $54,299 | $30,579 |
| Ingalls Memorial HospitalHarvey | 11 | $161,416 | $36,736 | $35,506 |
| Methodist Medical Center of IllinoisPeoria | 11 | $207,267 | $95,169 | $29,390 |
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
| Elmhurst Memorial HospitalElmhurst, IL | $31,098 |
|---|---|
| Edward HospitalNaperville, IL | $31,486 |
| St Elizabeth HospitalBelleville, IL | $31,864 |
| Silver Cross HospitalJoliet, IL | $32,589 |
| Alexian Brothers Medical CenterElk Grove Village, IL | $32,966 |
Highest
| Methodist Medical Center of IllinoisPeoria, IL | $95,169 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $80,763 |
| University of Illinois Hospital and ClinicsChicago, IL | $76,172 |
| Northwestern Memorial HospitalChicago, IL | $67,856 |
| Loyola University Medical CenterMaywood, IL | $65,978 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 33 hospitals in Illinois was billed at $193,912 on average, while the average total payment was $47,326, of which Medicare paid $38,700. 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 4.1 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.