Other digestive system operating room procedures with major complications in Illinois
What 5 hospitals in Illinois charged and were paid for a Medicare hospital stay for other digestive system operating room procedures with major complications (DRG 356), from 2024 Medicare claims.
Average charge
$199,967
Hospital list price billed
Average payment
$38,962
Medicare + patient + other payers
Medicare paid
$35,399
Average per stay
State rank
#7 of 19
1 = lowest average payment
Hospitals in Illinois billed an average of $199,967 for other digestive system operating room procedures with major complications, about 5.1 times the average total payment of $38,962. That payment is 12% below the U.S. average of $44,107.
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 $38,962Billed $199,967
About 19¢ 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 digestive system operating room procedures 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 |
|---|---|---|---|---|
| Evanston HospitalEvanston | 16 | $136,532 | $36,530 | $33,992 |
| Saint Francis Medical CenterPeoria | 15 | $250,091 | $40,798 | $36,898 |
| Northwestern Memorial HospitalChicago | 14 | $283,486 | $49,271 | $42,045 |
| Northwest Community HospitalArlington Heights | 12 | $134,894 | $30,119 | $28,014 |
| Northwestern Medicine McHenryMcHenry | 11 | $188,575 | $36,520 | $35,002 |
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
| Northwest Community HospitalArlington Heights, IL | $30,119 |
|---|---|
| Northwestern Medicine McHenryMcHenry, IL | $36,520 |
| Evanston HospitalEvanston, IL | $36,530 |
| Saint Francis Medical CenterPeoria, IL | $40,798 |
| Northwestern Memorial HospitalChicago, IL | $49,271 |
Highest
| Northwestern Memorial HospitalChicago, IL | $49,271 |
|---|---|
| Saint Francis Medical CenterPeoria, IL | $40,798 |
| Evanston HospitalEvanston, IL | $36,530 |
| Northwestern Medicine McHenryMcHenry, IL | $36,520 |
| Northwest Community HospitalArlington Heights, IL | $30,119 |
Other digestive system operating room procedures with major complications in other states
Questions
How much does other digestive system operating room procedures with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for other digestive system operating room procedures with major complications (DRG 356) at 5 hospitals in Illinois was billed at $199,967 on average, while the average total payment was $38,962, of which Medicare paid $35,399. 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 5.1 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.