facebook tracking Other circulatory system diagnoses with complications cost in Illinois: 25 hospitals compared (DRG 315)

Other circulatory system diagnoses with complications in Illinois

What 25 hospitals in Illinois charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.

DRG 315 Inpatient 2024 Medicare data
Average charge $40,784 Hospital list price billed
Average payment $9,786 Medicare + patient + other payers
Medicare paid $7,278 Average per stay
State rank #17 of 37 1 = lowest average payment

Hospitals in Illinois billed an average of $40,784 for other circulatory system diagnoses with complications, about 4.2 times the average total payment of $9,786. That payment is 6% below the U.S. average of $10,367.

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 $9,786Billed $40,784

About 24¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: other circulatory system diagnoses 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
Northwestern Memorial HospitalChicago 42 $50,960 $13,114 $8,372
The University of Chicago Medical CenterChicago 39 $72,304 $14,612 $10,515
Evanston HospitalEvanston 31 $33,077 $8,695 $7,194
Advocate Christ Hospital & Medical CenterOak Lawn 27 $28,751 $9,842 $7,451
Central Dupage HospitalWinfield 25 $51,422 $8,200 $7,318
Saint Francis Medical CenterPeoria 23 $41,348 $10,329 $7,077
Palos Community HospitalPalos Heights 22 $33,825 $10,904 $5,350
Alexian Brothers Medical CenterElk Grove Village 20 $41,370 $7,275 $6,122
Rush University Medical CenterChicago 18 $36,457 $13,304 $10,056
Loyola University Medical CenterMaywood 16 $46,957 $15,651 $9,097
Advocate Good Samaritan HospitalDowners Grove 16 $46,704 $6,888 $6,164
Advocate Lutheran General HospitalPark Ridge 15 $44,092 $8,996 $7,445
Edward HospitalNaperville 15 $31,017 $6,685 $5,380
Northwestern Medicine McHenryMcHenry 14 $37,272 $8,848 $6,060
Elmhurst Memorial HospitalElmhurst 14 $33,077 $6,938 $6,122
Memorial Medical CenterSpringfield 13 $32,089 $8,304 $6,647
Northwest Community HospitalArlington Heights 13 $30,316 $7,047 $6,419
Sherman HospitalElgin 12 $32,899 $7,589 $6,909
Silver Cross HospitalJoliet 12 $19,333 $7,204 $5,980
Advocate Good Shepherd HospitalBarrington 12 $22,069 $6,462 $5,238
Good Samaritan Regional Hlth CenterMt Vernon 11 $24,593 $7,169 $5,982
St Johns HospitalSpringfield 11 $28,589 $7,828 $6,619
Lake Forest HospitalLake Forest 11 $56,361 $8,653 $7,153
Saint Anthony Medical CenterRockford 11 $38,526 $9,178 $5,697
St Alexius Medical CenterSchaumburg 11 $31,636 $7,911 $6,995
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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

Advocate Good Shepherd HospitalBarrington, IL$6,462
Edward HospitalNaperville, IL$6,685
Advocate Good Samaritan HospitalDowners Grove, IL$6,888
Elmhurst Memorial HospitalElmhurst, IL$6,938
Northwest Community HospitalArlington Heights, IL$7,047

Highest

Other circulatory system diagnoses with complications in other states

Questions

How much does other circulatory system diagnoses with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 25 hospitals in Illinois was billed at $40,784 on average, while the average total payment was $9,786, of which Medicare paid $7,278. 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.