facebook tracking Other operating room procedures for injuries with complications cost in Illinois: 6 hospitals compared (DRG 908)

Other operating room procedures for injuries with complications in Illinois

What 6 hospitals in Illinois charged and were paid for a Medicare hospital stay for other operating room procedures for injuries with complications (DRG 908), from 2024 Medicare claims.

DRG 908 Inpatient 2024 Medicare data
Average charge $83,380 Hospital list price billed
Average payment $19,484 Medicare + patient + other payers
Medicare paid $16,274 Average per stay
State rank #6 of 21 1 = lowest average payment

Hospitals in Illinois billed an average of $83,380 for other operating room procedures for injuries with complications, about 4.3 times the average total payment of $19,484. That payment is 12% below the U.S. average of $22,105.

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 $19,484Billed $83,380

About 23¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: other operating room procedures for injuries 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
Rush University Medical CenterChicago 20 $75,287 $27,679 $19,248
Northwestern Memorial HospitalChicago 18 $103,941 $19,353 $16,553
Evanston HospitalEvanston 17 $71,776 $18,518 $16,995
Saint Francis Medical CenterPeoria 15 $92,352 $17,224 $15,499
Edward HospitalNaperville 12 $64,990 $13,528 $12,440
Central Dupage HospitalWinfield 11 $90,207 $15,869 $14,534
Advertisement

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

Edward HospitalNaperville, IL$13,528
Central Dupage HospitalWinfield, IL$15,869
Saint Francis Medical CenterPeoria, IL$17,224
Evanston HospitalEvanston, IL$18,518
Northwestern Memorial HospitalChicago, IL$19,353

Highest

Rush University Medical CenterChicago, IL$27,679
Northwestern Memorial HospitalChicago, IL$19,353
Evanston HospitalEvanston, IL$18,518
Saint Francis Medical CenterPeoria, IL$17,224
Central Dupage HospitalWinfield, IL$15,869

Other operating room procedures for injuries with complications in other states

Questions

How much does other operating room procedures for injuries with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for other operating room procedures for injuries with complications (DRG 908) at 6 hospitals in Illinois was billed at $83,380 on average, while the average total payment was $19,484, of which Medicare paid $16,274. 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 4.3 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.