Hip replacement with principal diagnosis of hip fracture with major complications in Illinois
What 13 hospitals in Illinois charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$130,200
Hospital list price billed
Average payment
$25,513
Medicare + patient + other payers
Medicare paid
$21,426
Average per stay
State rank
#25 of 40
1 = lowest average payment
Hospitals in Illinois billed an average of $130,200 for hip replacement with principal diagnosis of hip fracture with major complications, about 5.1 times the average total payment of $25,513. That payment is about the same as the U.S. average of $25,727.
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 $25,513Billed $130,200
About 20¢ 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: hip replacement with principal diagnosis of hip fracture 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 | 29 | $101,234 | $25,114 | $22,424 |
| Northwestern Medicine McHenryMcHenry | 19 | $113,277 | $22,001 | $20,388 |
| Advocate Good Samaritan HospitalDowners Grove | 18 | $110,500 | $25,159 | $18,066 |
| Northwestern Memorial HospitalChicago | 17 | $266,792 | $41,855 | $32,704 |
| Proctor HospitalPeoria | 15 | $102,722 | $18,580 | $17,383 |
| Delnor Community HospitalGeneva | 15 | $139,206 | $22,946 | $21,151 |
| Alexian Brothers Medical CenterElk Grove Village | 15 | $113,348 | $21,974 | $20,327 |
| Blessing HospitalQuincy | 14 | $156,489 | $22,224 | $19,809 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 13 | $105,177 | $27,095 | $24,124 |
| Silver Cross HospitalJoliet | 13 | $57,357 | $20,354 | $18,850 |
| Lake Forest HospitalLake Forest | 12 | $163,819 | $23,966 | $22,192 |
| Central Dupage HospitalWinfield | 12 | $188,575 | $39,129 | $19,254 |
| Northwest Community HospitalArlington Heights | 11 | $86,939 | $20,978 | $19,494 |
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 | $18,580 |
|---|---|
| Silver Cross HospitalJoliet, IL | $20,354 |
| Northwest Community HospitalArlington Heights, IL | $20,978 |
| Alexian Brothers Medical CenterElk Grove Village, IL | $21,974 |
| Northwestern Medicine McHenryMcHenry, IL | $22,001 |
Highest
| Northwestern Memorial HospitalChicago, IL | $41,855 |
|---|---|
| Central Dupage HospitalWinfield, IL | $39,129 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $27,095 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $25,159 |
| Evanston HospitalEvanston, IL | $25,114 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 13 hospitals in Illinois was billed at $130,200 on average, while the average total payment was $25,513, of which Medicare paid $21,426. 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 5.1 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.