Lower extremity and humerus procedures except hip, foot and femur with complications in Illinois
What 25 hospitals in Illinois charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$101,272
Hospital list price billed
Average payment
$21,748
Medicare + patient + other payers
Medicare paid
$17,968
Average per stay
State rank
#26 of 40
1 = lowest average payment
Hospitals in Illinois billed an average of $101,272 for lower extremity and humerus procedures except hip, foot and femur with complications, about 4.7 times the average total payment of $21,748. That payment is 5% below the U.S. average of $22,820.
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 $21,748Billed $101,272
About 21¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Illinois:
Illinois hospitals: lower extremity and humerus procedures except hip, foot and femur 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 |
|---|---|---|---|---|
| Evanston HospitalEvanston | 45 | $69,500 | $21,761 | $17,811 |
| Advocate Lutheran General HospitalPark Ridge | 38 | $77,666 | $22,897 | $19,373 |
| Carle Foundation HospitalUrbana | 23 | $102,680 | $19,329 | $17,668 |
| Saint Francis Medical CenterPeoria | 21 | $157,652 | $22,256 | $19,455 |
| Saint Anthony Medical CenterRockford | 21 | $119,759 | $20,375 | $18,638 |
| Advocate Condell Medical CenterLibertyville | 20 | $102,813 | $17,525 | $16,046 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 20 | $93,190 | $22,688 | $19,486 |
| Proctor HospitalPeoria | 18 | $95,185 | $16,522 | $15,343 |
| Palos Community HospitalPalos Heights | 18 | $104,655 | $16,505 | $14,963 |
| Rush University Medical CenterChicago | 18 | $93,794 | $29,496 | $25,860 |
| Advocate Good Samaritan HospitalDowners Grove | 17 | $65,029 | $17,243 | $15,800 |
| Adventist la Grange Memorial HospitalLa Grange | 16 | $110,365 | $21,653 | $19,623 |
| Northwestern Memorial HospitalChicago | 16 | $141,162 | $30,454 | $18,894 |
| Blessing HospitalQuincy | 15 | $142,181 | $19,229 | $17,118 |
| Loyola University Medical CenterMaywood | 15 | $112,528 | $31,051 | $22,843 |
| St Johns HospitalSpringfield | 14 | $89,277 | $19,181 | $16,795 |
| Northwestern Medicine McHenryMcHenry | 14 | $105,929 | $16,988 | $15,536 |
| Silver Cross HospitalJoliet | 14 | $56,620 | $17,487 | $15,502 |
| Edward HospitalNaperville | 13 | $99,520 | $23,502 | $14,380 |
| Provena St Joseph Medical CenterJoliet | 12 | $125,786 | $18,821 | $17,514 |
| Memorial Medical CenterSpringfield | 12 | $100,165 | $19,844 | $18,066 |
| Memorial Hospital of CarbondaleCarbondale | 12 | $149,445 | $42,529 | $16,651 |
| Javon Bea HospitalRockford | 12 | $137,927 | $21,380 | $19,168 |
| Northwest Community HospitalArlington Heights | 12 | $74,976 | $18,743 | $14,415 |
| St Alexius Medical CenterSchaumburg | 11 | $87,946 | $19,003 | $17,777 |
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
| Palos Community HospitalPalos Heights, IL | $16,505 |
|---|---|
| Proctor HospitalPeoria, IL | $16,522 |
| Northwestern Medicine McHenryMcHenry, IL | $16,988 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $17,243 |
| Silver Cross HospitalJoliet, IL | $17,487 |
Highest
| Memorial Hospital of CarbondaleCarbondale, IL | $42,529 |
|---|---|
| Loyola University Medical CenterMaywood, IL | $31,051 |
| Northwestern Memorial HospitalChicago, IL | $30,454 |
| Rush University Medical CenterChicago, IL | $29,496 |
| Edward HospitalNaperville, IL | $23,502 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 25 hospitals in Illinois was billed at $101,272 on average, while the average total payment was $21,748, of which Medicare paid $17,968. 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 4.7 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.