Hip replacement with principal diagnosis of hip fracture without major complications in Illinois
What 50 hospitals in Illinois charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$86,870
Hospital list price billed
Average payment
$17,567
Medicare + patient + other payers
Medicare paid
$14,703
Average per stay
State rank
#28 of 50
1 = lowest average payment
Hospitals in Illinois billed an average of $86,870 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.9 times the average total payment of $17,567. That payment is 4% below the U.S. average of $18,301.
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 $17,567Billed $86,870
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 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 | 84 | $69,374 | $18,209 | $16,112 |
| Silver Cross HospitalJoliet | 49 | $42,336 | $15,376 | $13,171 |
| Northwest Community HospitalArlington Heights | 46 | $70,545 | $16,997 | $13,512 |
| Decatur Memorial HospitalDecatur | 41 | $80,719 | $15,104 | $13,749 |
| Advocate Condell Medical CenterLibertyville | 41 | $92,020 | $15,350 | $13,829 |
| Northwestern Medicine McHenryMcHenry | 40 | $98,157 | $17,676 | $14,400 |
| Central Dupage HospitalWinfield | 38 | $125,904 | $19,893 | $14,303 |
| Memorial Medical CenterSpringfield | 37 | $85,992 | $16,925 | $14,512 |
| Palos Community HospitalPalos Heights | 36 | $91,022 | $17,241 | $12,642 |
| Advocate Lutheran General HospitalPark Ridge | 35 | $74,491 | $18,991 | $16,860 |
| St Johns HospitalSpringfield | 31 | $82,954 | $17,283 | $15,347 |
| Adventist la Grange Memorial HospitalLa Grange | 30 | $69,431 | $16,028 | $13,997 |
| Advocate Good Samaritan HospitalDowners Grove | 28 | $83,257 | $15,176 | $13,766 |
| Saint Francis Medical CenterPeoria | 26 | $96,246 | $18,945 | $16,228 |
| Northwestern Memorial HospitalChicago | 26 | $154,792 | $20,762 | $17,664 |
| Proctor HospitalPeoria | 24 | $83,720 | $14,407 | $12,980 |
| St Anthonys Memorial HospitalEffingham | 24 | $59,319 | $17,798 | $16,302 |
| Good Samaritan Regional Hlth CenterMt Vernon | 24 | $77,833 | $17,237 | $13,332 |
| Memorial HospitalBelleville | 24 | $62,350 | $15,872 | $13,400 |
| Edward HospitalNaperville | 24 | $82,650 | $14,462 | $13,034 |
| Saint Anthony Medical CenterRockford | 24 | $74,096 | $16,242 | $14,445 |
| Memorial Hospital of CarbondaleCarbondale | 23 | $110,720 | $16,465 | $14,738 |
| Sarah Bush Lincoln Health CenterMattoon | 23 | $79,330 | $15,107 | $13,546 |
| Copley Memorial HospitalAurora | 22 | $95,248 | $15,981 | $14,542 |
| St Joseph Medical CenterBloomington | 22 | $78,256 | $15,145 | $13,648 |
| St Elizabeth HospitalBelleville | 22 | $65,904 | $15,807 | $14,447 |
| Elmhurst Memorial HospitalElmhurst | 22 | $99,223 | $15,414 | $14,005 |
| Blessing HospitalQuincy | 21 | $131,285 | $17,100 | $14,857 |
| Resurrection Medical CenterChicago | 21 | $114,749 | $18,554 | $16,686 |
| Delnor Community HospitalGeneva | 20 | $113,904 | $16,832 | $15,099 |
| Cgh Medical CenterSterling | 19 | $91,822 | $15,630 | $14,171 |
| St Alexius Medical CenterSchaumburg | 19 | $81,154 | $16,590 | $13,616 |
| Bromenn Healthcare SystemNormal | 18 | $56,358 | $15,361 | $13,880 |
| Provena St Joseph Medical CenterJoliet | 17 | $106,526 | $15,518 | $14,106 |
| Herrin HospitalHerrin | 16 | $90,680 | $15,034 | $13,708 |
| Trinity Rock IslandRock Island | 16 | $56,470 | $15,213 | $13,683 |
| Riverside Medical CenterKankakee | 15 | $66,595 | $19,402 | $13,379 |
| Advocate Good Shepherd HospitalBarrington | 14 | $63,149 | $15,006 | $13,493 |
| Morris Hospital & Healthcare CentersMorris | 13 | $138,212 | $23,136 | $13,394 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 13 | $112,111 | $22,714 | $19,652 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 13 | $78,209 | $19,530 | $16,649 |
| Alexian Brothers Medical CenterElk Grove Village | 13 | $93,220 | $15,819 | $14,163 |
| Illini HospitalSilvis | 13 | $44,104 | $19,018 | $12,735 |
| Loyola University Medical CenterMaywood | 13 | $85,808 | $27,364 | $20,744 |
| Sherman HospitalElgin | 12 | $88,538 | $16,106 | $14,610 |
| The University of Chicago Medical CenterChicago | 12 | $142,310 | $26,340 | $22,649 |
| Rush University Medical CenterChicago | 12 | $90,176 | $30,945 | $20,379 |
| Lake Forest HospitalLake Forest | 12 | $144,057 | $17,821 | $16,285 |
| OSF Saint Elizabeth Mdl CtrOttawa | 11 | $88,028 | $16,752 | $15,419 |
| Kishwaukee Community HospitalDekalb | 11 | $154,483 | $48,287 | $13,069 |
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 | $14,407 |
|---|---|
| Edward HospitalNaperville, IL | $14,462 |
| Advocate Good Shepherd HospitalBarrington, IL | $15,006 |
| Herrin HospitalHerrin, IL | $15,034 |
| Decatur Memorial HospitalDecatur, IL | $15,104 |
Highest
| Kishwaukee Community HospitalDekalb, IL | $48,287 |
|---|---|
| Rush University Medical CenterChicago, IL | $30,945 |
| Loyola University Medical CenterMaywood, IL | $27,364 |
| The University of Chicago Medical CenterChicago, IL | $26,340 |
| Morris Hospital & Healthcare CentersMorris, IL | $23,136 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 50 hospitals in Illinois was billed at $86,870 on average, while the average total payment was $17,567, of which Medicare paid $14,703. 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 4.9 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.