Other digestive system diagnoses with complications in Illinois
What 45 hospitals in Illinois charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$38,487
Hospital list price billed
Average payment
$9,444
Medicare + patient + other payers
Medicare paid
$6,560
Average per stay
State rank
#33 of 46
1 = lowest average payment
Hospitals in Illinois billed an average of $38,487 for other digestive system diagnoses with complications, about 4.1 times the average total payment of $9,444. That payment is 1% below the U.S. average of $9,547.
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 $9,444Billed $38,487
About 25¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Illinois:
Illinois hospitals: other digestive 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 |
|---|---|---|---|---|
| Northwest Community HospitalArlington Heights | 76 | $24,399 | $7,020 | $5,753 |
| Evanston HospitalEvanston | 74 | $28,869 | $8,738 | $6,875 |
| Northwestern Memorial HospitalChicago | 60 | $49,579 | $11,072 | $8,130 |
| The University of Chicago Medical CenterChicago | 49 | $53,679 | $14,758 | $9,469 |
| Central Dupage HospitalWinfield | 42 | $46,369 | $8,874 | $6,590 |
| Carle Foundation HospitalUrbana | 41 | $41,536 | $9,053 | $6,338 |
| Saint Francis Medical CenterPeoria | 40 | $49,297 | $9,130 | $7,021 |
| Palos Community HospitalPalos Heights | 39 | $30,791 | $6,397 | $5,100 |
| Elmhurst Memorial HospitalElmhurst | 39 | $46,653 | $9,455 | $5,761 |
| Silver Cross HospitalJoliet | 39 | $20,097 | $6,991 | $5,671 |
| Northwestern Medicine McHenryMcHenry | 34 | $40,677 | $11,759 | $5,678 |
| Rush University Medical CenterChicago | 33 | $33,615 | $13,840 | $9,666 |
| Advocate Lutheran General HospitalPark Ridge | 33 | $33,220 | $10,824 | $6,919 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 30 | $34,078 | $10,924 | $7,156 |
| Saint Anthony Medical CenterRockford | 28 | $38,971 | $7,698 | $6,242 |
| Alexian Brothers Medical CenterElk Grove Village | 28 | $42,801 | $7,361 | $6,236 |
| Resurrection Medical CenterChicago | 27 | $58,314 | $8,830 | $7,185 |
| Memorial Medical CenterSpringfield | 25 | $34,602 | $8,481 | $6,188 |
| Edward HospitalNaperville | 25 | $37,346 | $9,273 | $5,361 |
| Blessing HospitalQuincy | 24 | $50,909 | $7,800 | $6,103 |
| Lake Forest HospitalLake Forest | 23 | $45,622 | $8,434 | $7,015 |
| Loyola University Medical CenterMaywood | 22 | $56,415 | $18,236 | $8,205 |
| Advocate Good Shepherd HospitalBarrington | 22 | $31,778 | $16,903 | $4,942 |
| Provena St Joseph Medical CenterJoliet | 21 | $44,201 | $6,954 | $5,383 |
| Decatur Memorial HospitalDecatur | 18 | $24,009 | $7,315 | $6,128 |
| Advocate Good Samaritan HospitalDowners Grove | 18 | $35,150 | $8,845 | $5,418 |
| Sherman HospitalElgin | 17 | $35,738 | $12,022 | $5,629 |
| Advocate Condell Medical CenterLibertyville | 17 | $37,553 | $7,937 | $4,914 |
| Delnor Community HospitalGeneva | 17 | $46,111 | $9,242 | $5,851 |
| Copley Memorial HospitalAurora | 16 | $33,493 | $9,215 | $6,218 |
| Swedish American HospitalRockford | 16 | $56,694 | $11,249 | $5,967 |
| St Alexius Medical CenterSchaumburg | 16 | $44,741 | $7,752 | $6,400 |
| Alton Memorial HospitalAlton | 14 | $29,752 | $7,422 | $5,868 |
| Trinity Rock IslandRock Island | 14 | $18,047 | $6,764 | $5,034 |
| St Johns HospitalSpringfield | 13 | $32,507 | $8,072 | $6,453 |
| Little Company of Mary HospitalEvergreen Park | 13 | $28,974 | $7,998 | $7,117 |
| St Elizabeth HospitalBelleville | 13 | $44,072 | $7,478 | $6,503 |
| Sarah Bush Lincoln Health CenterMattoon | 13 | $34,391 | $9,296 | $5,113 |
| Herrin HospitalHerrin | 12 | $31,980 | $6,697 | $5,609 |
| Swedish Covenant HospitalChicago | 12 | $32,036 | $9,199 | $7,936 |
| St Joseph Medical CenterBloomington | 12 | $27,307 | $7,059 | $5,953 |
| Riverside Medical CenterKankakee | 12 | $36,946 | $7,757 | $6,813 |
| Methodist Medical Center of IllinoisPeoria | 12 | $35,513 | $8,374 | $6,472 |
| Rush Oak Park HospitalOak Park | 11 | $24,920 | $7,482 | $6,208 |
| Rhc St Francis HospitalEvanston | 11 | $59,204 | $11,820 | $8,982 |
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 | $6,397 |
|---|---|
| Herrin HospitalHerrin, IL | $6,697 |
| Trinity Rock IslandRock Island, IL | $6,764 |
| Provena St Joseph Medical CenterJoliet, IL | $6,954 |
| Silver Cross HospitalJoliet, IL | $6,991 |
Highest
| Loyola University Medical CenterMaywood, IL | $18,236 |
|---|---|
| Advocate Good Shepherd HospitalBarrington, IL | $16,903 |
| The University of Chicago Medical CenterChicago, IL | $14,758 |
| Rush University Medical CenterChicago, IL | $13,840 |
| Sherman HospitalElgin, IL | $12,022 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 45 hospitals in Illinois was billed at $38,487 on average, while the average total payment was $9,444, of which Medicare paid $6,560. 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 4.1 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.