Fractures of hip and pelvis without major complications in Illinois
What 22 hospitals in Illinois charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.
Average charge
$28,750
Hospital list price billed
Average payment
$6,524
Medicare + patient + other payers
Medicare paid
$4,650
Average per stay
State rank
#11 of 37
1 = lowest average payment
Hospitals in Illinois billed an average of $28,750 for fractures of hip and pelvis without major complications, about 4.4 times the average total payment of $6,524. That payment is 14% below the U.S. average of $7,596.
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 $6,524Billed $28,750
About 23¢ 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: fractures of hip and pelvis 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 | 28 | $30,892 | $7,299 | $5,252 |
| Elmhurst Memorial HospitalElmhurst | 25 | $32,919 | $5,979 | $4,608 |
| Silver Cross HospitalJoliet | 23 | $13,689 | $5,877 | $4,387 |
| Northwest Community HospitalArlington Heights | 22 | $18,798 | $5,966 | $4,115 |
| Advocate Condell Medical CenterLibertyville | 20 | $32,648 | $6,202 | $4,970 |
| Advocate Good Shepherd HospitalBarrington | 19 | $26,169 | $6,037 | $3,722 |
| Adventist la Grange Memorial HospitalLa Grange | 18 | $24,079 | $6,394 | $4,625 |
| Edward HospitalNaperville | 18 | $26,214 | $5,270 | $3,819 |
| Saint Anthony Medical CenterRockford | 18 | $34,063 | $6,821 | $4,809 |
| Advocate Lutheran General HospitalPark Ridge | 17 | $35,391 | $7,487 | $5,373 |
| Provena St Joseph Medical CenterJoliet | 15 | $41,834 | $6,099 | $4,962 |
| Resurrection Medical CenterChicago | 15 | $36,364 | $6,684 | $4,994 |
| Palos Community HospitalPalos Heights | 14 | $24,508 | $5,432 | $4,036 |
| Memorial Medical CenterSpringfield | 14 | $30,010 | $6,609 | $4,669 |
| Blessing HospitalQuincy | 13 | $33,697 | $8,367 | $4,472 |
| Saint Francis Medical CenterPeoria | 13 | $39,015 | $10,117 | $5,104 |
| Herrin HospitalHerrin | 12 | $21,892 | $5,621 | $4,536 |
| Sherman HospitalElgin | 12 | $26,512 | $6,049 | $4,553 |
| Memorial HospitalBelleville | 12 | $25,401 | $5,998 | $4,370 |
| Copley Memorial HospitalAurora | 11 | $28,452 | $6,636 | $5,071 |
| St Joseph Medical CenterBloomington | 11 | $24,963 | $5,896 | $4,549 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 11 | $30,694 | $7,789 | $5,620 |
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 | $5,270 |
|---|---|
| Palos Community HospitalPalos Heights, IL | $5,432 |
| Herrin HospitalHerrin, IL | $5,621 |
| Silver Cross HospitalJoliet, IL | $5,877 |
| St Joseph Medical CenterBloomington, IL | $5,896 |
Highest
| Saint Francis Medical CenterPeoria, IL | $10,117 |
|---|---|
| Blessing HospitalQuincy, IL | $8,367 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $7,789 |
| Advocate Lutheran General HospitalPark Ridge, IL | $7,487 |
| Evanston HospitalEvanston, IL | $7,299 |
Fractures of hip and pelvis without major complications in other states
Questions
How much does fractures of hip and pelvis without major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 22 hospitals in Illinois was billed at $28,750 on average, while the average total payment was $6,524, of which Medicare paid $4,650. 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 4.4 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.