What 106 hospitals in Illinois charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Hospitals in Illinois billed an average of $12,368 for level 2 musculoskeletal procedures, about 8.3 times the average medicare-allowed amount of $1,486. That payment is 2% below the U.S. average of $1,511.
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.
About 12¢ was paid for every $1 hospitals in Illinois billed for this service.
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 | 177 | $12,186 | $1,482 | $1,176 |
| Decatur Memorial HospitalDecatur | 109 | $9,709 | $1,465 | $1,157 |
| Northwestern Memorial HospitalChicago | 104 | $15,338 | $1,563 | $1,241 |
| St Elizabeth HospitalBelleville | 88 | $12,695 | $1,418 | $1,114 |
| Palos Community HospitalPalos Heights | 79 | $11,083 | $1,491 | $1,183 |
| Memorial HospitalBelleville | 74 | $8,918 | $1,469 | $1,160 |
| Advocate Good Shepherd HospitalBarrington | 69 | $8,465 | $1,495 | $1,191 |
| Sarah Bush Lincoln Health CenterMattoon | 65 | $8,123 | $1,336 | $1,052 |
| Elmhurst Memorial HospitalElmhurst | 62 | $14,078 | $1,526 | $1,197 |
| Advocate Illinois Masonic Medical CenterChicago | 57 | $12,298 | $1,478 | $1,173 |
| Loyola University Medical CenterMaywood | 54 | $10,170 | $1,540 | $1,222 |
| Memorial Medical CenterSpringfield | 53 | $10,217 | $1,463 | $1,157 |
| Edward HospitalNaperville | 53 | $15,474 | $1,503 | $1,185 |
| Northwestern Medicine McHenryMcHenry | 48 | $14,624 | $1,526 | $1,216 |
| Lake Forest HospitalLake Forest | 47 | $15,535 | $1,465 | $1,157 |
| The University of Chicago Medical CenterChicago | 44 | $16,694 | $1,563 | $1,245 |
| Copley Memorial HospitalAurora | 40 | $13,094 | $1,569 | $1,245 |
| Advocate Lutheran General HospitalPark Ridge | 40 | $11,206 | $1,526 | $1,209 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 39 | $7,196 | $1,476 | $1,169 |
| Proctor HospitalPeoria | 36 | $20,229 | $1,453 | $1,138 |
| Swedish American HospitalRockford | 35 | $18,126 | $1,429 | $1,136 |
| Blessing HospitalQuincy | 34 | $13,820 | $1,591 | $1,263 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 33 | $15,342 | $1,526 | $1,207 |
| St Johns HospitalSpringfield | 31 | $13,447 | $1,450 | $1,145 |
| Saint Francis Medical CenterPeoria | 30 | $17,001 | $1,485 | $1,183 |
| Morris Hospital & Healthcare CentersMorris | 28 | $15,868 | $1,526 | $1,211 |
| Alexian Brothers Medical CenterElk Grove Village | 27 | $12,895 | $1,563 | $1,245 |
| Alton Memorial HospitalAlton | 26 | $10,740 | $1,485 | $1,183 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 26 | $12,120 | $1,563 | $1,242 |
| Swedish Covenant HospitalChicago | 24 | $9,288 | $1,526 | $1,212 |
| Anderson HospitalMaryville | 24 | $9,250 | $1,443 | $1,141 |
| Advocate Trinity HospitalChicago | 23 | $11,568 | $1,381 | $1,050 |
| OSF Saint Katharine Medical CenterDixon | 22 | $10,554 | $1,485 | $1,183 |
| Adventist la Grange Memorial HospitalLa Grange | 22 | $12,654 | $1,424 | $1,105 |
| St Josephs HospitalBreese | 22 | $11,385 | $1,485 | $1,183 |
| Silver Cross HospitalJoliet | 22 | $6,853 | $1,478 | $1,161 |
| Central Dupage HospitalWinfield | 22 | $16,727 | $1,526 | $1,207 |
| OSF Saint Elizabeth Mdl CtrOttawa | 21 | $10,724 | $1,504 | $1,186 |
| Saint Anthony Medical CenterRockford | 20 | $11,491 | $1,563 | $1,245 |
| Macneal HospitalBerwyn | 18 | $18,227 | $1,494 | $1,168 |
| Sherman HospitalElgin | 17 | $13,928 | $1,496 | $1,177 |
| Javon Bea HospitalRockford | 17 | $9,785 | $1,206 | $947 |
| Cgh Medical CenterSterling | 16 | $15,077 | $1,439 | $1,146 |
| St Marys HospitalDecatur | 16 | $12,081 | $1,337 | $1,035 |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | 16 | $14,417 | $1,526 | $1,192 |
| Advocate Condell Medical CenterLibertyville | 16 | $12,909 | $1,450 | $1,121 |
| Carle Foundation HospitalUrbana | 15 | $9,837 | $1,307 | $1,040 |
| St Joseph Medical CenterBloomington | 15 | $9,214 | $1,485 | $1,183 |
| Delnor Community HospitalGeneva | 15 | $14,953 | $1,499 | $1,168 |
| Northwest Community HospitalArlington Heights | 15 | $7,619 | $1,526 | $1,216 |
| Advocate Good Samaritan HospitalDowners Grove | 15 | $13,408 | $1,526 | $1,216 |
| University of Illinois Hospital and ClinicsChicago | 14 | $14,488 | $1,563 | $1,245 |
| Trinity Rock IslandRock Island | 14 | $7,116 | $1,485 | $1,183 |
| Rhc St Francis HospitalEvanston | 13 | $13,253 | $1,372 | $1,039 |
| Resurrection Medical CenterChicago | 13 | $10,691 | $1,526 | $1,212 |
| Bromenn Healthcare SystemNormal | 13 | $4,825 | $1,485 | $1,183 |
| Fhn Memorial HospitalFreeport | 13 | $11,895 | $1,433 | $1,141 |
| Heartland Regional Medical CenterMarion | 13 | $25,472 | $1,485 | $1,183 |
| Riverside Medical CenterKankakee | 13 | $14,160 | $1,512 | $1,204 |
| St Alexius Medical CenterSchaumburg | 13 | $13,260 | $1,563 | $1,245 |
| Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake | 13 | $7,903 | $1,526 | $1,216 |
| Provena St Joseph Medical CenterJoliet | 12 | $15,388 | $1,399 | $1,114 |
| Hinsdale HospitalHinsdale | 12 | $10,638 | $1,425 | $1,114 |
| Graham Hospital AssociationCanton | 11 | $10,544 | $1,591 | $1,267 |
| Rush University Medical CenterChicago | 11 | $11,383 | $1,563 | $1,245 |
| Kishwaukee Community HospitalDekalb | 11 | $13,874 | $1,563 | $1,242 |
| Herrin HospitalHerrin | – | – | – | – |
| Mt Sinai Hospital Medical CenterChicago | – | – | – | – |
| St Anthonys Memorial HospitalEffingham | – | – | – | – |
| St Marys HospitalCentralia | – | – | – | – |
| Good Samaritan Regional Hlth CenterMt Vernon | – | – | – | – |
| West Suburban Hosp Med CenterOak Park | – | – | – | – |
| Saint Anthony's Health CenterAlton | – | – | – | – |
| Jersey Community HospitalJerseyville | – | – | – | – |
| Rush Oak Park HospitalOak Park | – | – | – | – |
| St Mary Medical CenterGalesburg | – | – | – | – |
| Louis a Weiss Memorial HospitalChicago | – | – | – | – |
| Vista Medical Center EastWaukegan | – | – | – | – |
| Mc Donough District HospitalMacomb | – | – | – | – |
| OSF Sacred Heart Medical CenterDanville | – | – | – | – |
| Saint Anthony HospitalChicago | – | – | – | – |
| OSF Heart of Mary Medical CenterUrbana | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| Pekin Memorial HospitalPekin | – | – | – | – |
| John H Stroger Jr HospitalChicago | – | – | – | – |
| Gateway Regional Medical CenterGranite City | – | – | – | – |
| Holy Cross HospitalChicago | – | – | – | – |
| HSHS Holy Family HospitalGreenville | – | – | – | – |
| Carle Richland Memorial HospitalOlney | – | – | – | – |
| Provena St Marys HospitalKankakee | – | – | – | – |
| OSF Saint James HospitalPontiac | – | – | – | – |
| Memorial Hospital of CarbondaleCarbondale | – | – | – | – |
| Provena Mercy Medical CenterAurora | – | – | – | – |
| Little Company of Mary HospitalEvergreen Park | – | – | – | – |
| Ingalls Memorial HospitalHarvey | – | – | – | – |
| Humboldt Park HealthChicago | – | – | – | – |
| Methodist Medical Center of IllinoisPeoria | – | – | – | – |
| Harrisburg Medical CenterHarrisburg | – | – | – | – |
| Provena - Saint Joseph HospitalElgin | – | – | – | – |
| Saint Joseph HospitalChicago | – | – | – | – |
| Community First Medical CenterChicago | – | – | – | – |
| Illini HospitalSilvis | – | – | – | – |
| Adventist GlenoaksGlendale Heights | – | – | – | – |
| Crossroads Community HospitalMt Vernon | – | – | – | – |
| Provident Hospital of ChicagoChicago | – | – | – | – |
| Adventist Bolingbrook HospitalBolingbrook | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Javon Bea HospitalRockford, IL | $1,206 |
|---|---|
| Carle Foundation HospitalUrbana, IL | $1,307 |
| Sarah Bush Lincoln Health CenterMattoon, IL | $1,336 |
| St Marys HospitalDecatur, IL | $1,337 |
| Rhc St Francis HospitalEvanston, IL | $1,372 |
| Blessing HospitalQuincy, IL | $1,591 |
|---|---|
| Graham Hospital AssociationCanton, IL | $1,591 |
| Copley Memorial HospitalAurora, IL | $1,569 |
| Northwestern Memorial HospitalChicago, IL | $1,563 |
| Kishwaukee Community HospitalDekalb, IL | $1,563 |
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 106 hospitals in Illinois was billed at $12,368 on average, while the average medicare-allowed amount was $1,486, of which Medicare paid $1,176. Your own cost depends on your insurance, deductible and the hospital.
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 8.3 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.