Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Illinois
What 22 hospitals in Illinois charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$41,723
Hospital list price billed
Average payment
$9,589
Medicare + patient + other payers
Medicare paid
$7,409
Average per stay
State rank
#12 of 34
1 = lowest average payment
Hospitals in Illinois billed an average of $41,723 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 4.4 times the average total payment of $9,589. That payment is 8% below the U.S. average of $10,379.
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 $9,589Billed $41,723
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: pathological fractures and musculoskeletal and connective tissue malignancy 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 | 93 | $33,893 | $9,676 | $7,647 |
| Palos Community HospitalPalos Heights | 74 | $31,330 | $7,332 | $5,959 |
| Northwestern Medicine McHenryMcHenry | 59 | $43,407 | $8,454 | $6,909 |
| Central Dupage HospitalWinfield | 51 | $48,258 | $8,874 | $7,562 |
| Northwest Community HospitalArlington Heights | 44 | $26,400 | $7,931 | $6,670 |
| Lake Forest HospitalLake Forest | 41 | $53,056 | $9,433 | $7,919 |
| Northwestern Memorial HospitalChicago | 37 | $57,283 | $12,815 | $8,103 |
| Delnor Community HospitalGeneva | 36 | $45,029 | $8,315 | $6,691 |
| Carle Foundation HospitalUrbana | 25 | $56,039 | $9,523 | $7,105 |
| Advocate Lutheran General HospitalPark Ridge | 24 | $53,653 | $10,578 | $8,579 |
| Rush University Medical CenterChicago | 20 | $32,247 | $14,174 | $10,707 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 17 | $35,757 | $10,222 | $7,413 |
| Silver Cross HospitalJoliet | 17 | $25,379 | $7,882 | $6,634 |
| Kishwaukee Community HospitalDekalb | 17 | $38,576 | $8,245 | $6,709 |
| Blessing HospitalQuincy | 15 | $45,977 | $8,887 | $6,918 |
| Alexian Brothers Medical CenterElk Grove Village | 15 | $38,801 | $8,207 | $7,097 |
| Loyola University Medical CenterMaywood | 15 | $73,899 | $16,566 | $9,714 |
| Saint Francis Medical CenterPeoria | 13 | $50,420 | $10,505 | $8,187 |
| Resurrection Medical CenterChicago | 13 | $45,787 | $9,889 | $8,155 |
| Memorial HospitalBelleville | 12 | $40,578 | $8,017 | $6,657 |
| Swedish Covenant HospitalChicago | 11 | $26,177 | $9,850 | $8,051 |
| Advocate Illinois Masonic Medical CenterChicago | 11 | $48,424 | $20,691 | $8,916 |
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 | $7,332 |
|---|---|
| Silver Cross HospitalJoliet, IL | $7,882 |
| Northwest Community HospitalArlington Heights, IL | $7,931 |
| Memorial HospitalBelleville, IL | $8,017 |
| Alexian Brothers Medical CenterElk Grove Village, IL | $8,207 |
Highest
| Advocate Illinois Masonic Medical CenterChicago, IL | $20,691 |
|---|---|
| Loyola University Medical CenterMaywood, IL | $16,566 |
| Rush University Medical CenterChicago, IL | $14,174 |
| Northwestern Memorial HospitalChicago, IL | $12,815 |
| Advocate Lutheran General HospitalPark Ridge, IL | $10,578 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 22 hospitals in Illinois was billed at $41,723 on average, while the average total payment was $9,589, of which Medicare paid $7,409. 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.