facebook tracking Inflammatory bowel disease with complications cost in Illinois: 3 hospitals compared (DRG 386)

Inflammatory bowel disease with complications in Illinois

What 3 hospitals in Illinois charged and were paid for a Medicare hospital stay for inflammatory bowel disease with complications (DRG 386), from 2024 Medicare claims.

DRG 386 Inpatient 2024 Medicare data
Average charge $27,270 Hospital list price billed
Average payment $8,135 Medicare + patient + other payers
Medicare paid $5,842 Average per stay
State rank #1 of 9 1 = lowest average payment

Hospitals in Illinois billed an average of $27,270 for inflammatory bowel disease with complications, about 3.4 times the average total payment of $8,135. That payment is 21% below the U.S. average of $10,265.

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 $8,135Billed $27,270

About 30¢ 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: inflammatory bowel disease 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
Silver Cross HospitalJoliet 11 $20,597 $10,062 $4,814
Northwest Community HospitalArlington Heights 11 $26,570 $7,241 $6,202
Advocate Good Shepherd HospitalBarrington 11 $34,642 $7,103 $6,510
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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

Advocate Good Shepherd HospitalBarrington, IL$7,103
Northwest Community HospitalArlington Heights, IL$7,241
Silver Cross HospitalJoliet, IL$10,062

Highest

Silver Cross HospitalJoliet, IL$10,062
Northwest Community HospitalArlington Heights, IL$7,241
Advocate Good Shepherd HospitalBarrington, IL$7,103

Inflammatory bowel disease with complications in other states

Questions

How much does inflammatory bowel disease with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for inflammatory bowel disease with complications (DRG 386) at 3 hospitals in Illinois was billed at $27,270 on average, while the average total payment was $8,135, of which Medicare paid $5,842. 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 3.4 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.