facebook tracking Interstitial lung disease with major complications cost in Illinois: 13 hospitals compared (DRG 196)

Interstitial lung disease with major complications in Illinois

What 13 hospitals in Illinois charged and were paid for a Medicare hospital stay for interstitial lung disease with major complications (DRG 196), from 2024 Medicare claims.

DRG 196 Inpatient 2024 Medicare data
Average charge $82,343 Hospital list price billed
Average payment $21,238 Medicare + patient + other payers
Medicare paid $16,459 Average per stay
State rank #19 of 29 1 = lowest average payment

Hospitals in Illinois billed an average of $82,343 for interstitial lung disease with major complications, about 3.9 times the average total payment of $21,238. That payment is about the same as the U.S. average of $21,088.

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 $21,238Billed $82,343

About 26¢ 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: interstitial lung disease 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
Northwestern Memorial HospitalChicago 22 $146,504 $33,848 $21,204
Rush University Medical CenterChicago 19 $59,256 $25,823 $20,782
Northwest Community HospitalArlington Heights 18 $35,704 $12,763 $11,857
Silver Cross HospitalJoliet 17 $31,341 $14,083 $11,835
Loyola University Medical CenterMaywood 17 $83,141 $26,846 $19,389
Palos Community HospitalPalos Heights 16 $50,457 $12,338 $10,528
Saint Francis Medical CenterPeoria 15 $100,196 $20,722 $15,568
Advocate Christ Hospital & Medical CenterOak Lawn 15 $98,478 $28,222 $17,961
Carle Foundation HospitalUrbana 13 $77,528 $15,478 $13,977
Blessing HospitalQuincy 12 $45,215 $14,960 $13,225
Lake Forest HospitalLake Forest 12 $180,410 $25,838 $23,334
The University of Chicago Medical CenterChicago 11 $77,796 $23,117 $19,108
Northwestern Medicine McHenryMcHenry 11 $91,604 $15,241 $13,759
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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

Palos Community HospitalPalos Heights, IL$12,338
Northwest Community HospitalArlington Heights, IL$12,763
Silver Cross HospitalJoliet, IL$14,083
Blessing HospitalQuincy, IL$14,960
Northwestern Medicine McHenryMcHenry, IL$15,241

Highest

Interstitial lung disease with major complications in other states

Questions

How much does interstitial lung disease with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for interstitial lung disease with major complications (DRG 196) at 13 hospitals in Illinois was billed at $82,343 on average, while the average total payment was $21,238, of which Medicare paid $16,459. 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 3.9 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.