facebook tracking Permanent cardiac pacemaker implant with major complications cost in Illinois: 20 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Illinois

What 20 hospitals in Illinois charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $123,527 Hospital list price billed
Average payment $27,818 Medicare + patient + other payers
Medicare paid $24,817 Average per stay
State rank #20 of 41 1 = lowest average payment

Hospitals in Illinois billed an average of $123,527 for permanent cardiac pacemaker implant with major complications, about 4.4 times the average total payment of $27,818. That payment is 9% below the U.S. average of $30,574.

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 $27,818Billed $123,527

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

Illinois hospitals: permanent cardiac pacemaker implant 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
St Johns HospitalSpringfield 37 $129,534 $27,276 $25,598
Palos Community HospitalPalos Heights 30 $93,597 $29,357 $21,912
Silver Cross HospitalJoliet 26 $56,968 $24,590 $23,273
Evanston HospitalEvanston 23 $92,634 $29,394 $25,066
Saint Francis Medical CenterPeoria 17 $159,793 $30,215 $27,465
Advocate Condell Medical CenterLibertyville 17 $128,716 $24,973 $23,718
Northwest Community HospitalArlington Heights 16 $158,219 $30,573 $29,451
Delnor Community HospitalGeneva 15 $149,260 $26,660 $24,755
Northwestern Memorial HospitalChicago 15 $135,219 $34,436 $30,457
Advocate Good Samaritan HospitalDowners Grove 15 $92,641 $24,094 $22,670
Elmhurst Memorial HospitalElmhurst 14 $161,799 $30,511 $20,739
Advocate Christ Hospital & Medical CenterOak Lawn 14 $86,317 $31,454 $29,084
Provena St Joseph Medical CenterJoliet 13 $151,803 $22,210 $21,011
Carle Foundation HospitalUrbana 13 $156,267 $26,362 $24,971
Northwestern Medicine McHenryMcHenry 13 $132,650 $28,753 $23,459
St Elizabeth HospitalBelleville 13 $148,950 $25,989 $24,208
Memorial Medical CenterSpringfield 12 $123,748 $27,872 $25,636
St Joseph Medical CenterBloomington 12 $103,396 $25,643 $21,515
Central Dupage HospitalWinfield 11 $166,079 $25,350 $24,015
Advocate Good Shepherd HospitalBarrington 11 $148,284 $30,227 $29,337
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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

Provena St Joseph Medical CenterJoliet, IL$22,210
Advocate Good Samaritan HospitalDowners Grove, IL$24,094
Silver Cross HospitalJoliet, IL$24,590
Advocate Condell Medical CenterLibertyville, IL$24,973
Central Dupage HospitalWinfield, IL$25,350

Highest

Northwestern Memorial HospitalChicago, IL$34,436
Advocate Christ Hospital & Medical CenterOak Lawn, IL$31,454
Northwest Community HospitalArlington Heights, IL$30,573
Elmhurst Memorial HospitalElmhurst, IL$30,511
Advocate Good Shepherd HospitalBarrington, IL$30,227

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 20 hospitals in Illinois was billed at $123,527 on average, while the average total payment was $27,818, of which Medicare paid $24,817. 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.