Other respiratory system diagnoses with major complications in Illinois
What 11 hospitals in Illinois charged and were paid for a Medicare hospital stay for other respiratory system diagnoses with major complications (DRG 205), from 2024 Medicare claims.
Average charge
$77,791
Hospital list price billed
Average payment
$20,025
Medicare + patient + other payers
Medicare paid
$14,901
Average per stay
State rank
#9 of 21
1 = lowest average payment
Hospitals in Illinois billed an average of $77,791 for other respiratory system diagnoses with major complications, about 3.9 times the average total payment of $20,025. That payment is 12% below the U.S. average of $22,775.
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 $20,025Billed $77,791
About 26¢ 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 respiratory system diagnoses 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 |
|---|---|---|---|---|
| Northwestern Memorial HospitalChicago | 52 | $111,082 | $20,782 | $16,211 |
| Loyola University Medical CenterMaywood | 34 | $94,144 | $26,340 | $17,940 |
| Evanston HospitalEvanston | 31 | $49,769 | $15,421 | $13,207 |
| The University of Chicago Medical CenterChicago | 27 | $77,375 | $27,093 | $16,642 |
| Northwest Community HospitalArlington Heights | 20 | $36,029 | $12,871 | $11,599 |
| Northwestern Medicine McHenryMcHenry | 19 | $72,274 | $19,553 | $11,186 |
| Rush University Medical CenterChicago | 17 | $58,488 | $25,425 | $19,351 |
| Central Dupage HospitalWinfield | 16 | $68,100 | $13,370 | $12,248 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 15 | $93,237 | $17,255 | $14,609 |
| Saint Francis Medical CenterPeoria | 11 | $78,228 | $18,833 | $12,873 |
| Edward HospitalNaperville | 11 | $57,747 | $12,689 | $11,651 |
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 | $12,689 |
|---|---|
| Northwest Community HospitalArlington Heights, IL | $12,871 |
| Central Dupage HospitalWinfield, IL | $13,370 |
| Evanston HospitalEvanston, IL | $15,421 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $17,255 |
Highest
| The University of Chicago Medical CenterChicago, IL | $27,093 |
|---|---|
| Loyola University Medical CenterMaywood, IL | $26,340 |
| Rush University Medical CenterChicago, IL | $25,425 |
| Northwestern Memorial HospitalChicago, IL | $20,782 |
| Northwestern Medicine McHenryMcHenry, IL | $19,553 |
Other respiratory system diagnoses with major complications in other states
Questions
How much does other respiratory system diagnoses with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for other respiratory system diagnoses with major complications (DRG 205) at 11 hospitals in Illinois was billed at $77,791 on average, while the average total payment was $20,025, of which Medicare paid $14,901. 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 3.9 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.