Major chest procedures with complications in Illinois
What 16 hospitals in Illinois charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.
Average charge
$124,672
Hospital list price billed
Average payment
$26,488
Medicare + patient + other payers
Medicare paid
$19,808
Average per stay
State rank
#35 of 41
1 = lowest average payment
Hospitals in Illinois billed an average of $124,672 for major chest procedures with complications, about 4.7 times the average total payment of $26,488. That payment is 4% above the U.S. average of $25,501.
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 $26,488Billed $124,672
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: major chest procedures 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 |
|---|---|---|---|---|
| Central Dupage HospitalWinfield | 65 | $191,448 | $22,410 | $17,787 |
| Northwestern Memorial HospitalChicago | 64 | $162,569 | $26,708 | $22,000 |
| Rush University Medical CenterChicago | 55 | $56,977 | $31,631 | $25,061 |
| Evanston HospitalEvanston | 44 | $96,213 | $25,341 | $18,901 |
| The University of Chicago Medical CenterChicago | 37 | $149,154 | $35,364 | $26,362 |
| Palos Community HospitalPalos Heights | 31 | $102,309 | $16,850 | $15,534 |
| Saint Francis Medical CenterPeoria | 30 | $118,057 | $37,906 | $15,811 |
| Memorial Medical CenterSpringfield | 29 | $84,825 | $20,648 | $18,767 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 28 | $115,462 | $24,211 | $19,135 |
| Advocate Lutheran General HospitalPark Ridge | 24 | $139,036 | $34,636 | $19,239 |
| Northwestern Medicine McHenryMcHenry | 19 | $127,073 | $21,192 | $16,150 |
| Lake Forest HospitalLake Forest | 19 | $187,811 | $30,518 | $18,484 |
| Elmhurst Memorial HospitalElmhurst | 19 | $116,968 | $19,638 | $16,421 |
| Silver Cross HospitalJoliet | 14 | $54,777 | $18,300 | $16,785 |
| Loyola University Medical CenterMaywood | 14 | $98,034 | $29,937 | $24,964 |
| Northwest Community HospitalArlington Heights | 13 | $87,481 | $19,145 | $15,489 |
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 | $16,850 |
|---|---|
| Silver Cross HospitalJoliet, IL | $18,300 |
| Northwest Community HospitalArlington Heights, IL | $19,145 |
| Elmhurst Memorial HospitalElmhurst, IL | $19,638 |
| Memorial Medical CenterSpringfield, IL | $20,648 |
Highest
| Saint Francis Medical CenterPeoria, IL | $37,906 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $35,364 |
| Advocate Lutheran General HospitalPark Ridge, IL | $34,636 |
| Rush University Medical CenterChicago, IL | $31,631 |
| Lake Forest HospitalLake Forest, IL | $30,518 |
Major chest procedures with complications in other states
Questions
How much does major chest procedures with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 16 hospitals in Illinois was billed at $124,672 on average, while the average total payment was $26,488, of which Medicare paid $19,808. 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.