facebook tracking Level 2 ICD and Similar Procedures cost in Illinois: 71 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Illinois

What 71 hospitals in Illinois charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $158,557 Hospital list price billed
Average allowed $30,658 Medicare's payment + patient's share
Medicare paid $29,023 Average per service
State rank #27 of 47 1 = lowest average payment

Hospitals in Illinois billed an average of $158,557 for level 2 icd and similar procedures, about 5.2 times the average medicare-allowed amount of $30,658. That payment is 1% below the U.S. average of $31,009.

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 $30,658Billed $158,557

About 19¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 2 icd and similar 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
St Johns HospitalSpringfield 116 $140,071 $30,041 $28,399
Evanston HospitalEvanston 75 $175,256 $30,593 $28,959
Saint Francis Medical CenterPeoria 68 $167,661 $30,313 $28,677
Trinity Rock IslandRock Island 43 $151,770 $30,313 $28,677
Edward HospitalNaperville 41 $184,126 $31,141 $29,504
Memorial Hospital of CarbondaleCarbondale 39 $137,600 $28,107 $26,467
Loyola University Medical CenterMaywood 37 $136,959 $31,082 $29,450
Advocate Christ Hospital & Medical CenterOak Lawn 36 $109,179 $30,849 $29,212
Methodist Medical Center of IllinoisPeoria 36 $169,880 $30,313 $28,679
Northwestern Memorial HospitalChicago 35 $210,461 $31,900 $30,268
The University of Chicago Medical CenterChicago 33 $240,545 $31,900 $30,268
St Elizabeth HospitalBelleville 33 $153,529 $30,313 $28,678
Alexian Brothers Medical CenterElk Grove Village 33 $96,903 $31,900 $30,268
Blessing HospitalQuincy 27 $267,595 $32,463 $30,831
Carle Foundation HospitalUrbana 26 $157,113 $29,210 $27,578
Hinsdale HospitalHinsdale 26 $144,430 $31,141 $29,509
Advocate Good Shepherd HospitalBarrington 26 $118,840 $30,953 $29,321
Sherman HospitalElgin 25 $81,320 $30,833 $29,191
Riverside Medical CenterKankakee 25 $168,206 $30,848 $29,216
Elmhurst Memorial HospitalElmhurst 25 $193,681 $31,141 $29,507
Advocate Good Samaritan HospitalDowners Grove 25 $137,201 $31,141 $29,509
St Marys HospitalDecatur 24 $103,271 $30,313 $28,668
Advocate Condell Medical CenterLibertyville 23 $157,226 $30,855 $29,207
Northwestern Medicine McHenryMcHenry 21 $152,684 $31,141 $29,504
Northwest Community HospitalArlington Heights 21 $127,643 $29,756 $28,124
Central Dupage HospitalWinfield 20 $338,671 $31,141 $29,509
Palos Community HospitalPalos Heights 19 $100,611 $31,141 $29,509
Provena St Joseph Medical CenterJoliet 18 $220,591 $31,141 $29,509
Advocate Lutheran General HospitalPark Ridge 18 $109,930 $29,501 $27,863
Rush University Medical CenterChicago 17 $137,115 $31,900 $30,268
Silver Cross HospitalJoliet 17 $64,168 $31,141 $29,509
Provena St Marys HospitalKankakee 16 $190,752 $30,848 $29,216
Delnor Community HospitalGeneva 14 $251,984 $32,040 $30,408
Swedish Covenant HospitalChicago 13 $166,191 $31,141 $29,509
Lake Forest HospitalLake Forest 13 $231,562 $28,697 $27,065
Saint Anthony Medical CenterRockford 12 $155,263 $31,900 $30,260
Advocate Trinity HospitalChicago 11 $126,980 $28,458 $26,826
Memorial Medical CenterSpringfield 11 $135,322 $30,313 $28,680
St Joseph Medical CenterBloomington 11 $126,929 $30,313 $28,681
Javon Bea HospitalRockford 11 $112,668 $30,313 $28,681
Alton Memorial HospitalAlton – – – –
Loyola Gottlieb Memorial HospitalMelrose Park – – – –
Mt Sinai Hospital Medical CenterChicago – – – –
Copley Memorial HospitalAurora – – – –
Cgh Medical CenterSterling – – – –
Good Samaritan Regional Hlth CenterMt Vernon – – – –
Rush Oak Park HospitalOak Park – – – –
Rhc St Francis HospitalEvanston – – – –
Louis a Weiss Memorial HospitalChicago – – – –
Morris Hospital & Healthcare CentersMorris – – – –
OSF Heart of Mary Medical CenterUrbana – – – –
Resurrection Medical CenterChicago – – – –
John H Stroger Jr HospitalChicago – – – –
Bromenn Healthcare SystemNormal – – – –
Holy Cross HospitalChicago – – – –
University of Illinois Hospital and ClinicsChicago – – – –
Franciscan Health Olympia & Chicago HeightsOlympia Fields – – – –
Little Company of Mary HospitalEvergreen Park – – – –
St Mary & Elizabeth Med Ctr-Division CampusChicago – – – –
Advocate Illinois Masonic Medical CenterChicago – – – –
Heartland Regional Medical CenterMarion – – – –
Memorial HospitalBelleville – – – –
Sarah Bush Lincoln Health CenterMattoon – – – –
Ingalls Memorial HospitalHarvey – – – –
Humboldt Park HealthChicago – – – –
Provena - Saint Joseph HospitalElgin – – – –
Saint Joseph HospitalChicago – – – –
Swedish American HospitalRockford – – – –
Illini HospitalSilvis – – – –
Kishwaukee Community HospitalDekalb – – – –
St Alexius Medical CenterSchaumburg – – – –
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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

Memorial Hospital of CarbondaleCarbondale, IL$28,107
Advocate Trinity HospitalChicago, IL$28,458
Lake Forest HospitalLake Forest, IL$28,697
Carle Foundation HospitalUrbana, IL$29,210
Advocate Lutheran General HospitalPark Ridge, IL$29,501

Highest

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Illinois?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 71 hospitals in Illinois was billed at $158,557 on average, while the average medicare-allowed amount was $30,658, of which Medicare paid $29,023. 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 5.2 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.