Other musculoskeletal system and connective tissue operating room procedures with complications in Illinois
What 23 hospitals in Illinois charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.
Average charge
$81,902
Hospital list price billed
Average payment
$18,813
Medicare + patient + other payers
Medicare paid
$14,528
Average per stay
State rank
#20 of 33
1 = lowest average payment
Hospitals in Illinois billed an average of $81,902 for other musculoskeletal system and connective tissue operating room procedures with complications, about 4.4 times the average total payment of $18,813. That payment is about the same as the U.S. average of $18,981.
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 $18,813Billed $81,902
About 23¢ 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 musculoskeletal system and connective tissue operating room procedures 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 |
|---|---|---|---|---|
| Evanston HospitalEvanston | 53 | $58,688 | $17,544 | $15,475 |
| Rush University Medical CenterChicago | 31 | $75,398 | $26,837 | $20,438 |
| Advocate Good Samaritan HospitalDowners Grove | 31 | $90,326 | $18,045 | $12,790 |
| Silver Cross HospitalJoliet | 25 | $56,069 | $18,243 | $12,480 |
| Copley Memorial HospitalAurora | 23 | $82,870 | $20,935 | $13,321 |
| Palos Community HospitalPalos Heights | 22 | $72,175 | $13,601 | $12,489 |
| Central Dupage HospitalWinfield | 22 | $96,859 | $15,770 | $14,509 |
| Advocate Condell Medical CenterLibertyville | 18 | $84,670 | $18,825 | $12,851 |
| Advocate Good Shepherd HospitalBarrington | 18 | $70,351 | $14,150 | $12,882 |
| Memorial Medical CenterSpringfield | 17 | $94,017 | $15,084 | $13,207 |
| Adventist la Grange Memorial HospitalLa Grange | 16 | $56,516 | $15,859 | $14,083 |
| Hinsdale HospitalHinsdale | 16 | $66,758 | $16,142 | $14,329 |
| Carle Foundation HospitalUrbana | 15 | $132,591 | $25,011 | $20,104 |
| Northwestern Memorial HospitalChicago | 15 | $114,468 | $22,015 | $16,707 |
| Provena St Joseph Medical CenterJoliet | 14 | $102,527 | $15,029 | $13,910 |
| Memorial HospitalBelleville | 14 | $97,381 | $17,050 | $11,847 |
| Elmhurst Memorial HospitalElmhurst | 14 | $92,881 | $17,261 | $12,487 |
| Alexian Brothers Medical CenterElk Grove Village | 14 | $84,149 | $15,294 | $13,632 |
| St Johns HospitalSpringfield | 13 | $93,262 | $21,384 | $12,502 |
| Delnor Community HospitalGeneva | 12 | $100,789 | $16,278 | $14,845 |
| Loyola University Medical CenterMaywood | 12 | $83,431 | $25,426 | $19,946 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 11 | $74,295 | $21,601 | $14,459 |
| Kishwaukee Community HospitalDekalb | 11 | $84,762 | $29,819 | $11,492 |
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 | $13,601 |
|---|---|
| Advocate Good Shepherd HospitalBarrington, IL | $14,150 |
| Provena St Joseph Medical CenterJoliet, IL | $15,029 |
| Memorial Medical CenterSpringfield, IL | $15,084 |
| Alexian Brothers Medical CenterElk Grove Village, IL | $15,294 |
Highest
| Kishwaukee Community HospitalDekalb, IL | $29,819 |
|---|---|
| Rush University Medical CenterChicago, IL | $26,837 |
| Loyola University Medical CenterMaywood, IL | $25,426 |
| Carle Foundation HospitalUrbana, IL | $25,011 |
| Northwestern Memorial HospitalChicago, IL | $22,015 |
Other musculoskeletal system and connective tissue operating room procedures with complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 23 hospitals in Illinois was billed at $81,902 on average, while the average total payment was $18,813, of which Medicare paid $14,528. 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 4.4 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.