facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in Illinois: 107 hospitals compared (APC 5341)

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Illinois

What 107 hospitals in Illinois charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.

APC 5341 Outpatient 2024 Medicare data
Average charge $23,952 Hospital list price billed
Average allowed $3,239 Medicare's payment + patient's share
Medicare paid $2,569 Average per service
State rank #29 of 49 1 = lowest average payment

Hospitals in Illinois billed an average of $23,952 for level 1 abdominal/peritoneal/biliary and related procedures, about 7.4 times the average medicare-allowed amount of $3,239. That payment is 3% below the U.S. average of $3,323.

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 $3,239Billed $23,952

About 14¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 1 abdominal/peritoneal/biliary and related procedures

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
Evanston HospitalEvanston 206 $14,824 $3,231 $2,572
Northwestern Memorial HospitalChicago 165 $32,256 $3,238 $2,559
Lake Forest HospitalLake Forest 151 $21,862 $3,213 $2,549
Rush University Medical CenterChicago 101 $14,318 $3,305 $2,628
Advocate Lutheran General HospitalPark Ridge 88 $13,774 $3,227 $2,556
Decatur Memorial HospitalDecatur 86 $17,126 $3,179 $2,527
Elmhurst Memorial HospitalElmhurst 86 $22,377 $3,266 $2,598
Central Dupage HospitalWinfield 84 $30,363 $3,254 $2,585
The University of Chicago Medical CenterChicago 78 $30,693 $3,365 $2,681
Northwest Community HospitalArlington Heights 70 $17,595 $3,248 $2,569
Saint Francis Medical CenterPeoria 68 $37,694 $3,197 $2,547
Advocate Condell Medical CenterLibertyville 67 $22,459 $3,226 $2,560
Advocate Good Shepherd HospitalBarrington 61 $15,695 $3,265 $2,601
Memorial Medical CenterSpringfield 56 $14,754 $3,197 $2,545
Advocate Christ Hospital & Medical CenterOak Lawn 56 $15,173 $3,191 $2,524
Delnor Community HospitalGeneva 53 $29,630 $3,380 $2,693
Advocate Trinity HospitalChicago 48 $24,125 $3,230 $2,561
Loyola University Medical CenterMaywood 48 $22,914 $3,197 $2,513
Sherman HospitalElgin 47 $15,707 $3,380 $2,685
Silver Cross HospitalJoliet 46 $12,520 $3,114 $2,442
Carle Foundation HospitalUrbana 45 $24,133 $3,055 $2,421
Blessing HospitalQuincy 44 $32,657 $3,424 $2,728
University of Illinois Hospital and ClinicsChicago 44 $24,455 $3,243 $2,555
Palos Community HospitalPalos Heights 43 $18,602 $3,285 $2,617
Edward HospitalNaperville 43 $26,436 $3,285 $2,603
Bromenn Healthcare SystemNormal 38 $12,197 $3,197 $2,542
OSF Saint Elizabeth Mdl CtrOttawa 37 $28,284 $3,365 $2,681
Resurrection Medical CenterChicago 37 $29,431 $3,215 $2,533
Methodist Medical Center of IllinoisPeoria 37 $39,705 $3,197 $2,544
Morris Hospital & Healthcare CentersMorris 36 $22,888 $3,285 $2,609
Swedish American HospitalRockford 36 $50,148 $3,290 $2,606
Advocate Good Samaritan HospitalDowners Grove 34 $21,197 $3,054 $2,386
Hinsdale HospitalHinsdale 31 $23,912 $3,285 $2,617
Javon Bea HospitalRockford 31 $25,770 $3,197 $2,547
Provena St Joseph Medical CenterJoliet 30 $25,841 $3,285 $2,617
Northwestern Medicine McHenryMcHenry 30 $38,932 $3,285 $2,614
Rush Oak Park HospitalOak Park 29 $18,523 $3,194 $2,527
Memorial Hospital of CarbondaleCarbondale 29 $41,817 $3,197 $2,539
Memorial HospitalBelleville 28 $25,797 $3,197 $2,547
St Johns HospitalSpringfield 27 $14,872 $3,197 $2,543
Alexian Brothers Medical CenterElk Grove Village 27 $23,389 $3,266 $2,579
Ingalls Memorial HospitalHarvey 26 $26,253 $3,083 $2,416
Cgh Medical CenterSterling 25 $29,495 $3,095 $2,442
St Joseph Medical CenterBloomington 25 $25,013 $3,095 $2,446
OSF Saint Katharine Medical CenterDixon 24 $19,728 $3,197 $2,547
Sarah Bush Lincoln Health CenterMattoon 24 $28,159 $3,424 $2,728
Saint Anthony Medical CenterRockford 24 $21,974 $3,365 $2,673
St Mary Medical CenterGalesburg 23 $30,002 $3,424 $2,724
Anderson HospitalMaryville 23 $18,098 $3,087 $2,437
Copley Memorial HospitalAurora 22 $29,334 $3,256 $2,563
Riverside Medical CenterKankakee 21 $26,127 $3,009 $2,337
St Elizabeth HospitalBelleville 21 $33,010 $3,197 $2,547
Kishwaukee Community HospitalDekalb 21 $41,573 $3,365 $2,672
Adventist la Grange Memorial HospitalLa Grange 20 $20,539 $3,285 $2,614
St Alexius Medical CenterSchaumburg 17 $28,445 $3,365 $2,662
Alton Memorial HospitalAlton 16 $22,488 $3,197 $2,543
Trinity Rock IslandRock Island 16 $21,730 $2,879 $2,217
Rhc St Francis HospitalEvanston 15 $32,538 $3,365 $2,681
Provena St Marys HospitalKankakee 15 $38,648 $3,254 $2,592
St Marys HospitalDecatur 14 $25,987 $3,029 $2,365
Little Company of Mary HospitalEvergreen Park 14 $19,225 $3,365 $2,681
Crossroads Community HospitalMt Vernon 13 $57,281 $3,198 $2,533
Good Samaritan Regional Hlth CenterMt Vernon 12 $34,533 $3,197 $2,547
Advocate Illinois Masonic Medical CenterChicago 12 $25,220 $3,285 $2,617
John H Stroger Jr HospitalChicago 11 $30,412 $3,285 $2,617
Graham Hospital AssociationCanton – – – –
Loyola Gottlieb Memorial HospitalMelrose Park – – – –
Herrin HospitalHerrin – – – –
Proctor HospitalPeoria – – – –
Mt Sinai Hospital Medical CenterChicago – – – –
St Anthonys Memorial HospitalEffingham – – – –
St Marys HospitalCentralia – – – –
West Suburban Hosp Med CenterOak Park – – – –
Saint Anthony's Health CenterAlton – – – –
Macneal HospitalBerwyn – – – –
Jersey Community HospitalJerseyville – – – –
Louis a Weiss Memorial HospitalChicago – – – –
Loretto HospitalChicago – – – –
Vista Medical Center EastWaukegan – – – –
Mc Donough District HospitalMacomb – – – –
OSF Sacred Heart Medical CenterDanville – – – –
Midwestern Region Med CenterZion – – – –
St Bernard HospitalChicago – – – –
OSF Heart of Mary Medical CenterUrbana – – – –
Swedish Covenant HospitalChicago – – – –
Thorek Memorial HospitalChicago – – – –
Pekin Memorial HospitalPekin – – – –
Gateway Regional Medical CenterGranite City – – – –
St Josephs HospitalBreese – – – –
Carle Richland Memorial HospitalOlney – – – –
Insight Hospital and Medical Center ChicagoChicago – – – –
Fhn Memorial HospitalFreeport – – – –
OSF Saint James HospitalPontiac – – – –
Franciscan Health Olympia & Chicago HeightsOlympia Fields – – – –
Provena Mercy Medical CenterAurora – – – –
St Mary & Elizabeth Med Ctr-Division CampusChicago – – – –
Heartland Regional Medical CenterMarion – – – –
Humboldt Park HealthChicago – – – –
Harrisburg Medical CenterHarrisburg – – – –
Provena - Saint Joseph HospitalElgin – – – –
Saint Joseph HospitalChicago – – – –
Community First Medical CenterChicago – – – –
Illini HospitalSilvis – – – –
Adventist GlenoaksGlendale Heights – – – –
Provident Hospital of ChicagoChicago – – – –
Adventist Bolingbrook HospitalBolingbrook – – – –
Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake – – – –
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Lowest and highest allowed amounts in Illinois

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Trinity Rock IslandRock Island, IL$2,879
Riverside Medical CenterKankakee, IL$3,009
St Marys HospitalDecatur, IL$3,029
Advocate Good Samaritan HospitalDowners Grove, IL$3,054
Carle Foundation HospitalUrbana, IL$3,055

Highest

St Mary Medical CenterGalesburg, IL$3,424
Blessing HospitalQuincy, IL$3,424
Sarah Bush Lincoln Health CenterMattoon, IL$3,424
Sherman HospitalElgin, IL$3,380
Delnor Community HospitalGeneva, IL$3,380

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states

Questions

How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Illinois?

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 107 hospitals in Illinois was billed at $23,952 on average, while the average medicare-allowed amount was $3,239, of which Medicare paid $2,569. 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 7.4 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.