Malignancy of hepatobiliary system or pancreas with major complications in Illinois
What 23 hospitals in Illinois charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$78,659
Hospital list price billed
Average payment
$17,596
Medicare + patient + other payers
Medicare paid
$14,089
Average per stay
State rank
#18 of 32
1 = lowest average payment
Hospitals in Illinois billed an average of $78,659 for malignancy of hepatobiliary system or pancreas with major complications, about 4.5 times the average total payment of $17,596. That payment is 9% below the U.S. average of $19,425.
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 $17,596Billed $78,659
About 22¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Illinois:
Illinois hospitals: malignancy of hepatobiliary system or pancreas with major 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 | 31 | $54,939 | $15,592 | $13,846 |
| Central Dupage HospitalWinfield | 30 | $103,451 | $14,459 | $13,535 |
| Northwestern Memorial HospitalChicago | 29 | $99,360 | $20,521 | $15,011 |
| Saint Francis Medical CenterPeoria | 27 | $80,573 | $18,851 | $13,188 |
| Rush University Medical CenterChicago | 27 | $79,884 | $23,710 | $18,612 |
| Advocate Lutheran General HospitalPark Ridge | 27 | $79,148 | $17,347 | $15,072 |
| Edward HospitalNaperville | 26 | $74,322 | $13,151 | $9,958 |
| Palos Community HospitalPalos Heights | 25 | $65,217 | $12,054 | $11,206 |
| The University of Chicago Medical CenterChicago | 25 | $107,123 | $24,596 | $19,714 |
| Northwest Community HospitalArlington Heights | 25 | $47,367 | $13,842 | $11,524 |
| Northwestern Medicine McHenryMcHenry | 22 | $63,680 | $15,130 | $12,348 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 18 | $87,240 | $20,513 | $13,224 |
| Saint Anthony Medical CenterRockford | 18 | $70,474 | $15,039 | $11,578 |
| Delnor Community HospitalGeneva | 17 | $81,360 | $13,548 | $11,893 |
| Memorial Medical CenterSpringfield | 16 | $54,922 | $13,846 | $12,189 |
| Loyola University Medical CenterMaywood | 15 | $81,059 | $23,691 | $16,702 |
| Resurrection Medical CenterChicago | 14 | $107,801 | $16,028 | $13,985 |
| Carle Foundation HospitalUrbana | 13 | $92,793 | $15,112 | $12,396 |
| University of Illinois Hospital and ClinicsChicago | 13 | $113,526 | $35,691 | $28,314 |
| Advocate Condell Medical CenterLibertyville | 13 | $74,462 | $13,328 | $12,386 |
| Silver Cross HospitalJoliet | 13 | $49,121 | $13,001 | $11,118 |
| Lake Forest HospitalLake Forest | 11 | $91,509 | $15,316 | $14,456 |
| Advocate Illinois Masonic Medical CenterChicago | 11 | $50,061 | $26,386 | $13,981 |
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 | $12,054 |
|---|---|
| Silver Cross HospitalJoliet, IL | $13,001 |
| Edward HospitalNaperville, IL | $13,151 |
| Advocate Condell Medical CenterLibertyville, IL | $13,328 |
| Delnor Community HospitalGeneva, IL | $13,548 |
Highest
| University of Illinois Hospital and ClinicsChicago, IL | $35,691 |
|---|---|
| Advocate Illinois Masonic Medical CenterChicago, IL | $26,386 |
| The University of Chicago Medical CenterChicago, IL | $24,596 |
| Rush University Medical CenterChicago, IL | $23,710 |
| Loyola University Medical CenterMaywood, IL | $23,691 |
Malignancy of hepatobiliary system or pancreas with major complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 23 hospitals in Illinois was billed at $78,659 on average, while the average total payment was $17,596, of which Medicare paid $14,089. 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 4.5 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.