Other circulatory system operating room procedures in Illinois
What 9 hospitals in Illinois charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.
Average charge
$131,494
Hospital list price billed
Average payment
$33,523
Medicare + patient + other payers
Medicare paid
$28,670
Average per stay
State rank
#10 of 21
1 = lowest average payment
Hospitals in Illinois billed an average of $131,494 for other circulatory system operating room procedures, about 3.9 times the average total payment of $33,523. That payment is 6% below the U.S. average of $35,518.
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 $33,523Billed $131,494
About 25¢ was paid for every $1 hospitals in Illinois billed for this stay.
Illinois hospitals: other circulatory system operating room procedures
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 | 19 | $194,964 | $44,780 | $34,155 |
| Silver Cross HospitalJoliet | 18 | $40,259 | $22,135 | $20,218 |
| Northwestern Medicine McHenryMcHenry | 15 | $135,844 | $25,373 | $23,716 |
| The University of Chicago Medical CenterChicago | 13 | $179,252 | $48,343 | $40,367 |
| Edward HospitalNaperville | 13 | $120,855 | $21,993 | $21,083 |
| Palos Community HospitalPalos Heights | 12 | $102,814 | $24,683 | $20,216 |
| Evanston HospitalEvanston | 11 | $94,308 | $26,367 | $23,886 |
| Rush University Medical CenterChicago | 11 | $113,526 | $41,792 | $34,697 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 11 | $207,804 | $48,467 | $42,910 |
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 | $21,993 |
|---|---|
| Silver Cross HospitalJoliet, IL | $22,135 |
| Palos Community HospitalPalos Heights, IL | $24,683 |
| Northwestern Medicine McHenryMcHenry, IL | $25,373 |
| Evanston HospitalEvanston, IL | $26,367 |
Highest
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $48,467 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $48,343 |
| Northwestern Memorial HospitalChicago, IL | $44,780 |
| Rush University Medical CenterChicago, IL | $41,792 |
| Evanston HospitalEvanston, IL | $26,367 |
Other circulatory system operating room procedures in other states
Questions
How much does other circulatory system operating room procedures cost in Illinois?
In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 9 hospitals in Illinois was billed at $131,494 on average, while the average total payment was $33,523, of which Medicare paid $28,670. 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 3.9 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.