facebook tracking Other cardiothoracic procedures without major complications cost in Illinois: 9 hospitals compared (DRG 229)

Other cardiothoracic procedures without major complications in Illinois

What 9 hospitals in Illinois charged and were paid for a Medicare hospital stay for other cardiothoracic procedures without major complications (DRG 229), from 2024 Medicare claims.

DRG 229 Inpatient 2024 Medicare data
Average charge $140,155 Hospital list price billed
Average payment $27,916 Medicare + patient + other payers
Medicare paid $25,478 Average per stay
State rank #14 of 26 1 = lowest average payment

Hospitals in Illinois billed an average of $140,155 for other cardiothoracic procedures without major complications, about 5.0 times the average total payment of $27,916. That payment is 7% below the U.S. average of $29,975.

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 $27,916Billed $140,155

About 20¢ 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: other cardiothoracic procedures without 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 29 $125,055 $27,659 $25,764
Blessing HospitalQuincy 22 $221,248 $23,880 $21,829
Advocate Illinois Masonic Medical CenterChicago 16 $150,283 $36,488 $33,972
St Johns HospitalSpringfield 15 $132,565 $25,385 $23,787
Advocate Lutheran General HospitalPark Ridge 14 $120,515 $28,485 $26,627
Loyola University Medical CenterMaywood 13 $93,479 $34,419 $31,434
Northwestern Medicine McHenryMcHenry 12 $116,083 $24,607 $23,316
Memorial Hospital of CarbondaleCarbondale 12 $89,427 $28,437 $20,787
Edward HospitalNaperville 11 $175,162 $22,280 $20,945
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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

Edward HospitalNaperville, IL$22,280
Blessing HospitalQuincy, IL$23,880
Northwestern Medicine McHenryMcHenry, IL$24,607
St Johns HospitalSpringfield, IL$25,385
Evanston HospitalEvanston, IL$27,659

Highest

Other cardiothoracic procedures without major complications in other states

Questions

How much does other cardiothoracic procedures without major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for other cardiothoracic procedures without major complications (DRG 229) at 9 hospitals in Illinois was billed at $140,155 on average, while the average total payment was $27,916, of which Medicare paid $25,478. 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 5.0 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.