facebook tracking Implantation of Drug Infusion Device cost in Illinois: 32 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Illinois

What 32 hospitals in Illinois charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $78,141 Hospital list price billed
Average allowed $16,878 Medicare's payment + patient's share
Medicare paid $15,246 Average per service
State rank #25 of 32 1 = lowest average payment

Hospitals in Illinois billed an average of $78,141 for implantation of drug infusion device, about 4.6 times the average medicare-allowed amount of $16,878. That payment is 3% above the U.S. average of $16,462.

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 $16,878Billed $78,141

About 22¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: implantation of drug infusion device

Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Memorial Medical CenterSpringfield 11 $52,246 $16,447 $14,815
Northwestern Memorial HospitalChicago 11 $104,035 $17,308 $15,676
Graham Hospital AssociationCanton – – – –
Provena St Joseph Medical CenterJoliet – – – –
Evanston HospitalEvanston – – – –
Sherman HospitalElgin – – – –
Jersey Community HospitalJerseyville – – – –
Rush Oak Park HospitalOak Park – – – –
Saint Francis Medical CenterPeoria – – – –
The University of Chicago Medical CenterChicago – – – –
Midwestern Region Med CenterZion – – – –
Swedish Covenant HospitalChicago – – – –
Thorek Memorial HospitalChicago – – – –
Northwestern Medicine McHenryMcHenry – – – –
Resurrection Medical CenterChicago – – – –
Rush University Medical CenterChicago – – – –
Bromenn Healthcare SystemNormal – – – –
University of Illinois Hospital and ClinicsChicago – – – –
St Marys HospitalDecatur – – – –
Advocate Illinois Masonic Medical CenterChicago – – – –
Riverside Medical CenterKankakee – – – –
Advocate Condell Medical CenterLibertyville – – – –
Advocate Christ Hospital & Medical CenterOak Lawn – – – –
Delnor Community HospitalGeneva – – – –
Swedish American HospitalRockford – – – –
Edward HospitalNaperville – – – –
Javon Bea HospitalRockford – – – –
Central Dupage HospitalWinfield – – – –
Northwest Community HospitalArlington Heights – – – –
Loyola University Medical CenterMaywood – – – –
Adventist GlenoaksGlendale Heights – – – –
Adventist Bolingbrook HospitalBolingbrook – – – –
Implantation of Drug Infusion Device: all states All Illinois hospitals Illinois hospital finances
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Implantation of Drug Infusion Device in other states

Alaska · $17,250 Arizona · $17,353 Georgia · $16,516 Montana · $16,685 North Dakota · $16,685 Pennsylvania · $17,357 South Dakota · $16,584 Wisconsin · $16,613

Questions

How much does implantation of drug infusion device cost in Illinois?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 32 hospitals in Illinois was billed at $78,141 on average, while the average medicare-allowed amount was $16,878, of which Medicare paid $15,246. 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 service in Illinois, average charges were 4.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.