Pleural effusion with major complications in Illinois
What 6 hospitals in Illinois charged and were paid for a Medicare hospital stay for pleural effusion with major complications (DRG 186), from 2024 Medicare claims.
Average charge
$56,961
Hospital list price billed
Average payment
$13,206
Medicare + patient + other payers
Medicare paid
$10,143
Average per stay
State rank
#5 of 16
1 = lowest average payment
Hospitals in Illinois billed an average of $56,961 for pleural effusion with major complications, about 4.3 times the average total payment of $13,206. That payment is 11% below the U.S. average of $14,801.
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 $13,206Billed $56,961
About 23¢ 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: pleural effusion 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 |
|---|---|---|---|---|
| Advocate Christ Hospital & Medical CenterOak Lawn | 16 | $65,637 | $17,579 | $10,062 |
| Good Samaritan Regional Hlth CenterMt Vernon | 14 | $36,051 | $10,461 | $9,994 |
| Swedish American HospitalRockford | 13 | $62,657 | $13,990 | $10,282 |
| Advocate Condell Medical CenterLibertyville | 12 | $52,920 | $10,955 | $10,672 |
| Memorial Medical CenterSpringfield | 11 | $60,774 | $14,156 | $9,972 |
| Edward HospitalNaperville | 11 | $64,820 | $10,922 | $9,883 |
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
| Good Samaritan Regional Hlth CenterMt Vernon, IL | $10,461 |
|---|---|
| Edward HospitalNaperville, IL | $10,922 |
| Advocate Condell Medical CenterLibertyville, IL | $10,955 |
| Swedish American HospitalRockford, IL | $13,990 |
| Memorial Medical CenterSpringfield, IL | $14,156 |
Highest
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $17,579 |
|---|---|
| Memorial Medical CenterSpringfield, IL | $14,156 |
| Swedish American HospitalRockford, IL | $13,990 |
| Advocate Condell Medical CenterLibertyville, IL | $10,955 |
| Edward HospitalNaperville, IL | $10,922 |
Pleural effusion with major complications in other states
Questions
How much does pleural effusion with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for pleural effusion with major complications (DRG 186) at 6 hospitals in Illinois was billed at $56,961 on average, while the average total payment was $13,206, of which Medicare paid $10,143. 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.