Knee procedures without principal diagnosis of infection with complications in Illinois
What 1 hospital in Illinois charged and were paid for a Medicare hospital stay for knee procedures without principal diagnosis of infection with complications (DRG 488), from 2024 Medicare claims.
Average charge
$62,628
Hospital list price billed
Average payment
$25,014
Medicare + patient + other payers
Medicare paid
$21,989
Average per stay
Volume
14
Medicare hospital stays
Hospitals in Illinois billed an average of $62,628 for knee procedures without principal diagnosis of infection with complications, about 2.5 times the average total payment of $25,014. That payment is 24% above the U.S. average of $20,222.
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 $25,014Billed $62,628
About 40¢ 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: knee procedures without principal diagnosis of infection 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 |
|---|---|---|---|---|
| Rush University Medical CenterChicago | 14 | $62,628 | $25,014 | $21,989 |
Knee procedures without principal diagnosis of infection with complications in other states
Questions
How much does knee procedures without principal diagnosis of infection with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for knee procedures without principal diagnosis of infection with complications (DRG 488) at 1 hospital in Illinois was billed at $62,628 on average, while the average total payment was $25,014, of which Medicare paid $21,989. 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 2.5 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.