facebook tracking Hip and femur procedures except major joint with complications cost in Illinois: 64 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Illinois

What 64 hospitals in Illinois charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $88,757 Hospital list price billed
Average payment $17,728 Medicare + patient + other payers
Medicare paid $14,649 Average per stay
State rank #31 of 50 1 = lowest average payment

Hospitals in Illinois billed an average of $88,757 for hip and femur procedures except major joint with complications, about 5.0 times the average total payment of $17,728. That payment is 4% below the U.S. average of $18,473.

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 $17,728Billed $88,757

About 20¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: hip and femur procedures except major joint with 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 224 $66,274 $18,177 $15,267
Palos Community HospitalPalos Heights 104 $83,869 $14,708 $12,647
Northwestern Medicine McHenryMcHenry 87 $95,078 $16,811 $14,206
Saint Francis Medical CenterPeoria 86 $115,161 $18,614 $15,917
Memorial Medical CenterSpringfield 71 $91,521 $17,035 $14,599
Northwest Community HospitalArlington Heights 71 $58,021 $15,489 $13,249
Advocate Lutheran General HospitalPark Ridge 70 $68,917 $23,881 $16,445
Proctor HospitalPeoria 69 $82,871 $13,867 $12,401
Adventist la Grange Memorial HospitalLa Grange 59 $76,399 $17,372 $13,642
Advocate Christ Hospital & Medical CenterOak Lawn 59 $74,505 $19,113 $16,181
Silver Cross HospitalJoliet 57 $43,342 $15,658 $12,510
Central Dupage HospitalWinfield 54 $132,928 $18,341 $14,376
Saint Anthony Medical CenterRockford 52 $94,218 $17,841 $13,909
Resurrection Medical CenterChicago 51 $112,315 $17,848 $15,915
Memorial Hospital of CarbondaleCarbondale 51 $88,636 $15,981 $13,717
Advocate Good Samaritan HospitalDowners Grove 51 $75,876 $15,656 $12,937
Advocate Condell Medical CenterLibertyville 50 $90,096 $17,106 $13,347
Blessing HospitalQuincy 49 $123,465 $16,172 $14,122
Edward HospitalNaperville 49 $83,363 $17,937 $12,013
Elmhurst Memorial HospitalElmhurst 46 $101,558 $17,333 $13,304
St Johns HospitalSpringfield 45 $87,208 $17,708 $14,158
Delnor Community HospitalGeneva 44 $109,213 $16,285 $14,467
Loyola University Medical CenterMaywood 43 $97,568 $27,488 $20,067
Northwestern Memorial HospitalChicago 43 $128,985 $21,232 $17,756
Carle Foundation HospitalUrbana 40 $86,041 $16,500 $14,802
The University of Chicago Medical CenterChicago 38 $136,156 $27,765 $20,204
Riverside Medical CenterKankakee 38 $67,385 $15,686 $14,356
Decatur Memorial HospitalDecatur 37 $79,820 $15,617 $12,658
St Anthonys Memorial HospitalEffingham 36 $60,851 $18,658 $15,599
St Alexius Medical CenterSchaumburg 33 $86,433 $19,805 $13,698
Provena St Joseph Medical CenterJoliet 32 $123,711 $15,074 $13,732
St Elizabeth HospitalBelleville 28 $56,288 $15,305 $13,850
Copley Memorial HospitalAurora 27 $96,621 $16,271 $14,577
St Joseph Medical CenterBloomington 27 $71,068 $14,742 $13,339
Franciscan Health Olympia & Chicago HeightsOlympia Fields 27 $95,736 $22,286 $19,129
Loyola Gottlieb Memorial HospitalMelrose Park 26 $87,492 $15,591 $14,238
Good Samaritan Regional Hlth CenterMt Vernon 26 $70,139 $14,633 $13,316
Advocate Illinois Masonic Medical CenterChicago 25 $103,443 $23,454 $20,115
Advocate Good Shepherd HospitalBarrington 25 $61,085 $14,749 $13,378
Sherman HospitalElgin 24 $79,934 $15,606 $14,382
Sarah Bush Lincoln Health CenterMattoon 24 $80,211 $17,769 $13,032
Trinity Rock IslandRock Island 24 $56,941 $14,490 $13,062
Javon Bea HospitalRockford 23 $104,289 $18,614 $15,933
Bromenn Healthcare SystemNormal 22 $56,896 $15,486 $13,714
Provena Mercy Medical CenterAurora 22 $130,215 $16,526 $15,042
Anderson HospitalMaryville 21 $55,743 $15,120 $13,521
Herrin HospitalHerrin 19 $88,404 $14,785 $13,325
Memorial HospitalBelleville 19 $59,370 $15,035 $13,918
Swedish American HospitalRockford 19 $275,804 $21,655 $19,847
Kishwaukee Community HospitalDekalb 19 $121,043 $18,649 $13,783
Advocate Trinity HospitalChicago 18 $75,135 $22,425 $12,854
Rhc St Francis HospitalEvanston 18 $125,486 $22,762 $19,208
OSF Saint Elizabeth Mdl CtrOttawa 18 $67,933 $16,039 $14,590
Alexian Brothers Medical CenterElk Grove Village 18 $79,270 $15,577 $14,281
Cgh Medical CenterSterling 16 $80,346 $19,066 $12,827
Morris Hospital & Healthcare CentersMorris 16 $104,800 $15,473 $13,841
Macneal HospitalBerwyn 15 $109,723 $20,195 $17,354
Rush University Medical CenterChicago 15 $90,177 $26,721 $22,469
Lake Forest HospitalLake Forest 15 $127,688 $17,249 $15,324
Heartland Regional Medical CenterMarion 15 $120,141 $14,827 $13,521
Adventist Bolingbrook HospitalBolingbrook 14 $81,201 $26,042 $12,128
OSF Saint Katharine Medical CenterDixon 13 $98,474 $16,389 $14,670
Fhn Memorial HospitalFreeport 13 $112,298 $16,071 $14,690
Rush Oak Park HospitalOak Park 11 $57,845 $15,856 $14,118
Advertisement

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

Proctor HospitalPeoria, IL$13,867
Trinity Rock IslandRock Island, IL$14,490
Good Samaritan Regional Hlth CenterMt Vernon, IL$14,633
Palos Community HospitalPalos Heights, IL$14,708
St Joseph Medical CenterBloomington, IL$14,742

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 64 hospitals in Illinois was billed at $88,757 on average, while the average total payment was $17,728, of which Medicare paid $14,649. 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.