facebook tracking Other disorders of nervous system without complications cost in Illinois: 4 hospitals compared (DRG 093)

Other disorders of nervous system without complications in Illinois

What 4 hospitals in Illinois charged and were paid for a Medicare hospital stay for other disorders of nervous system without complications (DRG 093), from 2024 Medicare claims.

DRG 093 Inpatient 2024 Medicare data
Average charge $38,499 Hospital list price billed
Average payment $7,727 Medicare + patient + other payers
Medicare paid $6,162 Average per stay
State rank #3 of 7 1 = lowest average payment

Hospitals in Illinois billed an average of $38,499 for other disorders of nervous system without complications, about 5.0 times the average total payment of $7,727. That payment is 14% below the U.S. average of $8,973.

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 $7,727Billed $38,499

About 20¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: other disorders of nervous system without 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
Saint Francis Medical CenterPeoria 15 $69,327 $9,484 $7,683
Evanston HospitalEvanston 13 $26,518 $7,424 $5,826
Northwest Community HospitalArlington Heights 12 $20,331 $5,781 $4,829
Advocate Christ Hospital & Medical CenterOak Lawn 11 $30,442 $7,810 $5,939
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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

Northwest Community HospitalArlington Heights, IL$5,781
Evanston HospitalEvanston, IL$7,424
Advocate Christ Hospital & Medical CenterOak Lawn, IL$7,810
Saint Francis Medical CenterPeoria, IL$9,484

Highest

Saint Francis Medical CenterPeoria, IL$9,484
Advocate Christ Hospital & Medical CenterOak Lawn, IL$7,810
Evanston HospitalEvanston, IL$7,424
Northwest Community HospitalArlington Heights, IL$5,781

Other disorders of nervous system without complications in other states

Questions

How much does other disorders of nervous system without complications cost in Illinois?

In 2024 Medicare data, a hospital stay for other disorders of nervous system without complications (DRG 093) at 4 hospitals in Illinois was billed at $38,499 on average, while the average total payment was $7,727, of which Medicare paid $6,162. 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.