Medical back problems with major complications in Illinois
What 21 hospitals in Illinois charged and were paid for a Medicare hospital stay for medical back problems with major complications (DRG 551), from 2024 Medicare claims.
Average charge
$63,539
Hospital list price billed
Average payment
$14,955
Medicare + patient + other payers
Medicare paid
$11,734
Average per stay
State rank
#16 of 33
1 = lowest average payment
Hospitals in Illinois billed an average of $63,539 for medical back problems with major complications, about 4.2 times the average total payment of $14,955. That payment is 8% below the U.S. average of $16,215.
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 $14,955Billed $63,539
About 24¢ 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: medical back problems 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 |
|---|---|---|---|---|
| Saint Francis Medical CenterPeoria | 33 | $101,286 | $15,859 | $12,620 |
| Silver Cross HospitalJoliet | 33 | $31,170 | $11,493 | $10,331 |
| Evanston HospitalEvanston | 32 | $52,322 | $14,384 | $12,453 |
| Carle Foundation HospitalUrbana | 30 | $72,535 | $13,995 | $11,833 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 28 | $67,943 | $16,594 | $13,745 |
| Advocate Lutheran General HospitalPark Ridge | 24 | $60,100 | $15,740 | $13,465 |
| Saint Anthony Medical CenterRockford | 21 | $57,255 | $16,347 | $9,525 |
| Palos Community HospitalPalos Heights | 19 | $63,352 | $11,350 | $10,406 |
| Advocate Good Samaritan HospitalDowners Grove | 19 | $45,113 | $11,496 | $10,365 |
| Northwest Community HospitalArlington Heights | 17 | $32,085 | $12,010 | $10,666 |
| Advocate Good Shepherd HospitalBarrington | 17 | $39,735 | $10,596 | $9,156 |
| Sherman HospitalElgin | 16 | $61,929 | $21,985 | $10,027 |
| Northwestern Medicine McHenryMcHenry | 16 | $66,229 | $19,598 | $11,079 |
| Adventist la Grange Memorial HospitalLa Grange | 14 | $38,212 | $12,520 | $10,963 |
| Advocate Condell Medical CenterLibertyville | 14 | $73,609 | $11,896 | $10,496 |
| Loyola University Medical CenterMaywood | 14 | $100,080 | $30,777 | $15,792 |
| Provena St Joseph Medical CenterJoliet | 13 | $70,595 | $11,695 | $10,374 |
| Copley Memorial HospitalAurora | 13 | $69,425 | $13,477 | $12,335 |
| Delnor Community HospitalGeneva | 13 | $108,322 | $19,143 | $16,877 |
| Resurrection Medical CenterChicago | 11 | $72,419 | $14,621 | $12,812 |
| Central Dupage HospitalWinfield | 11 | $75,577 | $12,723 | $11,084 |
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
| Advocate Good Shepherd HospitalBarrington, IL | $10,596 |
|---|---|
| Palos Community HospitalPalos Heights, IL | $11,350 |
| Silver Cross HospitalJoliet, IL | $11,493 |
| Advocate Good Samaritan HospitalDowners Grove, IL | $11,496 |
| Provena St Joseph Medical CenterJoliet, IL | $11,695 |
Highest
| Loyola University Medical CenterMaywood, IL | $30,777 |
|---|---|
| Sherman HospitalElgin, IL | $21,985 |
| Northwestern Medicine McHenryMcHenry, IL | $19,598 |
| Delnor Community HospitalGeneva, IL | $19,143 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $16,594 |
Medical back problems with major complications in other states
Questions
How much does medical back problems with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for medical back problems with major complications (DRG 551) at 21 hospitals in Illinois was billed at $63,539 on average, while the average total payment was $14,955, of which Medicare paid $11,734. 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 4.2 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.