Hip and femur procedures except major joint with major complications in Illinois
What 45 hospitals in Illinois charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$121,769
Hospital list price billed
Average payment
$24,447
Medicare + patient + other payers
Medicare paid
$21,226
Average per stay
State rank
#24 of 46
1 = lowest average payment
Hospitals in Illinois billed an average of $121,769 for hip and femur procedures except major joint with major complications, about 5.0 times the average total payment of $24,447. That payment is 7% below the U.S. average of $26,284.
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 $24,447Billed $121,769
About 20¢ 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: hip and femur procedures except major joint 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 | 59 | $92,474 | $25,650 | $21,827 |
| Palos Community HospitalPalos Heights | 43 | $107,901 | $21,446 | $18,190 |
| Northwestern Medicine McHenryMcHenry | 43 | $128,351 | $27,449 | $20,110 |
| Advocate Lutheran General HospitalPark Ridge | 40 | $100,920 | $27,346 | $24,701 |
| Saint Francis Medical CenterPeoria | 36 | $165,137 | $26,641 | $23,412 |
| Northwest Community HospitalArlington Heights | 34 | $83,568 | $20,719 | $19,471 |
| Proctor HospitalPeoria | 30 | $118,047 | $23,810 | $17,242 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 30 | $115,124 | $29,000 | $25,167 |
| Saint Anthony Medical CenterRockford | 30 | $119,855 | $26,873 | $18,633 |
| St Johns HospitalSpringfield | 26 | $95,523 | $23,278 | $21,247 |
| Silver Cross HospitalJoliet | 26 | $55,994 | $20,539 | $19,033 |
| Adventist la Grange Memorial HospitalLa Grange | 24 | $95,004 | $21,630 | $19,820 |
| Advocate Good Samaritan HospitalDowners Grove | 24 | $98,557 | $20,183 | $18,809 |
| Advocate Condell Medical CenterLibertyville | 23 | $116,682 | $22,382 | $18,084 |
| Herrin HospitalHerrin | 22 | $104,194 | $21,016 | $19,681 |
| Alexian Brothers Medical CenterElk Grove Village | 22 | $107,447 | $21,612 | $20,312 |
| Memorial Medical CenterSpringfield | 21 | $125,190 | $23,885 | $21,732 |
| Central Dupage HospitalWinfield | 21 | $179,029 | $21,754 | $20,667 |
| Resurrection Medical CenterChicago | 20 | $154,813 | $25,036 | $22,939 |
| Lake Forest HospitalLake Forest | 20 | $218,248 | $28,332 | $26,432 |
| Delnor Community HospitalGeneva | 19 | $135,597 | $23,218 | $21,430 |
| Northwestern Memorial HospitalChicago | 19 | $170,292 | $31,534 | $26,542 |
| Copley Memorial HospitalAurora | 18 | $118,662 | $22,469 | $21,128 |
| Carle Foundation HospitalUrbana | 18 | $162,605 | $28,111 | $23,178 |
| Elmhurst Memorial HospitalElmhurst | 18 | $132,819 | $25,911 | $19,017 |
| The University of Chicago Medical CenterChicago | 17 | $235,026 | $41,049 | $34,424 |
| St Alexius Medical CenterSchaumburg | 17 | $114,659 | $20,640 | $19,537 |
| Sherman HospitalElgin | 16 | $109,578 | $21,389 | $20,067 |
| Sarah Bush Lincoln Health CenterMattoon | 16 | $125,008 | $20,838 | $19,718 |
| Blessing HospitalQuincy | 14 | $153,788 | $23,534 | $21,292 |
| OSF Saint Elizabeth Mdl CtrOttawa | 14 | $79,772 | $21,792 | $20,510 |
| Rhc St Francis HospitalEvanston | 13 | $115,783 | $27,293 | $24,591 |
| St Joseph Medical CenterBloomington | 13 | $92,272 | $20,521 | $19,110 |
| Memorial Hospital of CarbondaleCarbondale | 13 | $101,351 | $22,001 | $20,561 |
| Memorial HospitalBelleville | 13 | $91,962 | $19,906 | $18,528 |
| Edward HospitalNaperville | 13 | $128,622 | $19,402 | $18,021 |
| Advocate Good Shepherd HospitalBarrington | 13 | $92,180 | $20,296 | $19,041 |
| Advocate Illinois Masonic Medical CenterChicago | 12 | $148,636 | $37,096 | $25,902 |
| Javon Bea HospitalRockford | 12 | $133,875 | $24,981 | $22,330 |
| Loyola University Medical CenterMaywood | 12 | $145,400 | $37,585 | $26,968 |
| Trinity Rock IslandRock Island | 12 | $95,453 | $22,410 | $20,778 |
| Provena St Joseph Medical CenterJoliet | 11 | $184,907 | $20,150 | $18,859 |
| Advocate Trinity HospitalChicago | 11 | $86,625 | $21,221 | $19,741 |
| Little Company of Mary HospitalEvergreen Park | 11 | $116,163 | $20,367 | $19,362 |
| Swedish American HospitalRockford | 11 | $182,791 | $21,592 | $20,004 |
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 | $19,402 |
|---|---|
| Memorial HospitalBelleville, IL | $19,906 |
| Provena St Joseph Medical CenterJoliet, IL | $20,150 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $20,183 |
| Advocate Good Shepherd HospitalBarrington, IL | $20,296 |
Highest
| The University of Chicago Medical CenterChicago, IL | $41,049 |
|---|---|
| Loyola University Medical CenterMaywood, IL | $37,585 |
| Advocate Illinois Masonic Medical CenterChicago, IL | $37,096 |
| Northwestern Memorial HospitalChicago, IL | $31,534 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $29,000 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 45 hospitals in Illinois was billed at $121,769 on average, while the average total payment was $24,447, of which Medicare paid $21,226. 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.