Other heart assist system implant in Illinois
What 2 hospitals in Illinois charged and were paid for a Medicare hospital stay for other heart assist system implant (DRG 215), from 2024 Medicare claims.
Average charge
$342,235
Hospital list price billed
Average payment
$86,301
Medicare + patient + other payers
Medicare paid
$83,642
Average per stay
Volume
26
Medicare hospital stays
Hospitals in Illinois billed an average of $342,235 for other heart assist system implant, about 4.0 times the average total payment of $86,301. That payment is 13% below the U.S. average of $98,781.
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 $86,301Billed $342,235
About 25¢ was paid for every $1 hospitals in Illinois billed for this stay.
Illinois hospitals: other heart assist system implant
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 | 13 | $333,901 | $80,470 | $78,119 |
| Advocate Lutheran General HospitalPark Ridge | 13 | $350,569 | $92,131 | $89,166 |
Other heart assist system implant in other states
Questions
How much does other heart assist system implant cost in Illinois?
In 2024 Medicare data, a hospital stay for other heart assist system implant (DRG 215) at 2 hospitals in Illinois was billed at $342,235 on average, while the average total payment was $86,301, of which Medicare paid $83,642. 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 4.0 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.