Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Illinois
What 34 hospitals in Illinois charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$33,025
Hospital list price billed
Average payment
$7,825
Medicare + patient + other payers
Medicare paid
$5,728
Average per stay
State rank
#19 of 39
1 = lowest average payment
Hospitals in Illinois billed an average of $33,025 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 4.2 times the average total payment of $7,825. That payment is 11% below the U.S. average of $8,749.
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 $7,825Billed $33,025
About 24¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh 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 | 47 | $29,180 | $8,260 | $6,214 |
| Saint Francis Medical CenterPeoria | 42 | $38,306 | $8,761 | $6,185 |
| Northwest Community HospitalArlington Heights | 40 | $17,854 | $6,542 | $5,075 |
| Silver Cross HospitalJoliet | 37 | $15,998 | $6,596 | $5,273 |
| Advocate Lutheran General HospitalPark Ridge | 29 | $39,658 | $9,571 | $6,658 |
| Palos Community HospitalPalos Heights | 26 | $29,660 | $6,256 | $4,395 |
| Sherman HospitalElgin | 22 | $34,589 | $7,168 | $5,758 |
| Advocate Good Shepherd HospitalBarrington | 21 | $25,541 | $6,056 | $4,657 |
| Carle Foundation HospitalUrbana | 20 | $45,677 | $8,631 | $5,894 |
| Memorial Medical CenterSpringfield | 20 | $41,312 | $8,227 | $5,554 |
| Provena St Joseph Medical CenterJoliet | 19 | $39,262 | $8,340 | $5,344 |
| Advocate Condell Medical CenterLibertyville | 19 | $36,370 | $6,755 | $5,205 |
| Central Dupage HospitalWinfield | 19 | $45,820 | $7,570 | $6,469 |
| Advocate Good Samaritan HospitalDowners Grove | 19 | $33,349 | $6,549 | $5,165 |
| Saint Anthony Medical CenterRockford | 18 | $38,463 | $7,321 | $5,675 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 17 | $30,412 | $9,248 | $6,762 |
| Adventist la Grange Memorial HospitalLa Grange | 16 | $20,144 | $8,885 | $4,703 |
| Resurrection Medical CenterChicago | 16 | $38,054 | $8,364 | $6,321 |
| Blessing HospitalQuincy | 15 | $38,092 | $8,879 | $5,091 |
| Memorial HospitalBelleville | 15 | $24,598 | $6,921 | $5,071 |
| Alexian Brothers Medical CenterElk Grove Village | 14 | $32,955 | $7,044 | $5,628 |
| Copley Memorial HospitalAurora | 13 | $39,565 | $7,582 | $6,246 |
| OSF Saint Elizabeth Mdl CtrOttawa | 13 | $22,567 | $7,287 | $5,906 |
| Edward HospitalNaperville | 13 | $28,195 | $6,064 | $4,686 |
| Anderson HospitalMaryville | 13 | $26,646 | $6,523 | $5,122 |
| St Alexius Medical CenterSchaumburg | 13 | $32,137 | $7,415 | $6,005 |
| Rhc St Francis HospitalEvanston | 12 | $63,539 | $10,925 | $7,649 |
| Northwestern Medicine McHenryMcHenry | 12 | $46,354 | $7,062 | $5,375 |
| Sarah Bush Lincoln Health CenterMattoon | 12 | $31,969 | $6,517 | $5,157 |
| The University of Chicago Medical CenterChicago | 11 | $53,401 | $12,134 | $8,886 |
| Lake Forest HospitalLake Forest | 11 | $44,908 | $7,939 | $6,408 |
| Decatur Memorial HospitalDecatur | 11 | $22,260 | $7,184 | $5,658 |
| OSF Saint James HospitalPontiac | 11 | $24,158 | $9,206 | $7,723 |
| Elmhurst Memorial HospitalElmhurst | 11 | $36,949 | $12,208 | $4,731 |
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
| Advocate Good Shepherd HospitalBarrington, IL | $6,056 |
|---|---|
| Edward HospitalNaperville, IL | $6,064 |
| Palos Community HospitalPalos Heights, IL | $6,256 |
| Sarah Bush Lincoln Health CenterMattoon, IL | $6,517 |
| Anderson HospitalMaryville, IL | $6,523 |
Highest
| Elmhurst Memorial HospitalElmhurst, IL | $12,208 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $12,134 |
| Rhc St Francis HospitalEvanston, IL | $10,925 |
| Advocate Lutheran General HospitalPark Ridge, IL | $9,571 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $9,248 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 34 hospitals in Illinois was billed at $33,025 on average, while the average total payment was $7,825, of which Medicare paid $5,728. 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 4.2 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.