facebook tracking Kidney and ureter procedures for non-neoplasm with major complications cost in Illinois: 19 hospitals compared (DRG 659)

Kidney and ureter procedures for non-neoplasm with major complications in Illinois

What 19 hospitals in Illinois charged and were paid for a Medicare hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659), from 2024 Medicare claims.

DRG 659 Inpatient 2024 Medicare data
Average charge $118,699 Hospital list price billed
Average payment $24,581 Medicare + patient + other payers
Medicare paid $20,347 Average per stay
State rank #15 of 29 1 = lowest average payment

Hospitals in Illinois billed an average of $118,699 for kidney and ureter procedures for non-neoplasm with major complications, about 4.8 times the average total payment of $24,581. That payment is 3% below the U.S. average of $25,369.

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 $24,581Billed $118,699

About 21¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: kidney and ureter procedures for non-neoplasm 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 25 $175,202 $30,876 $26,999
Saint Francis Medical CenterPeoria 21 $127,381 $31,265 $18,989
Memorial Medical CenterSpringfield 21 $92,824 $21,951 $19,767
The University of Chicago Medical CenterChicago 19 $220,387 $44,945 $29,490
Evanston HospitalEvanston 18 $102,348 $33,437 $21,477
Resurrection Medical CenterChicago 16 $139,359 $22,992 $21,075
Blessing HospitalQuincy 14 $191,619 $24,999 $22,799
Lake Forest HospitalLake Forest 14 $149,881 $25,477 $23,844
Elmhurst Memorial HospitalElmhurst 14 $95,104 $18,826 $17,665
Sherman HospitalElgin 13 $60,122 $20,786 $16,108
Advocate Condell Medical CenterLibertyville 13 $85,524 $17,508 $16,743
Edward HospitalNaperville 13 $64,777 $16,542 $15,569
Northwest Community HospitalArlington Heights 13 $49,675 $17,727 $16,471
Alexian Brothers Medical CenterElk Grove Village 13 $113,141 $19,509 $18,830
Northwestern Medicine McHenryMcHenry 12 $106,127 $19,438 $17,802
Silver Cross HospitalJoliet 12 $49,235 $18,482 $17,261
Palos Community HospitalPalos Heights 11 $82,782 $17,295 $16,554
Methodist Medical Center of IllinoisPeoria 11 $108,354 $22,103 $19,367
Central Dupage HospitalWinfield 11 $137,769 $19,306 $18,267
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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

Edward HospitalNaperville, IL$16,542
Palos Community HospitalPalos Heights, IL$17,295
Advocate Condell Medical CenterLibertyville, IL$17,508
Northwest Community HospitalArlington Heights, IL$17,727
Silver Cross HospitalJoliet, IL$18,482

Highest

The University of Chicago Medical CenterChicago, IL$44,945
Evanston HospitalEvanston, IL$33,437
Saint Francis Medical CenterPeoria, IL$31,265
Northwestern Memorial HospitalChicago, IL$30,876
Lake Forest HospitalLake Forest, IL$25,477

Kidney and ureter procedures for non-neoplasm with major complications in other states

Questions

How much does kidney and ureter procedures for non-neoplasm with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for kidney and ureter procedures for non-neoplasm with major complications (DRG 659) at 19 hospitals in Illinois was billed at $118,699 on average, while the average total payment was $24,581, of which Medicare paid $20,347. 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 4.8 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.