facebook tracking Postoperative or post-traumatic infections with operating room procedures with complications cost in Illinois: 8 hospitals compared (DRG 857)

Postoperative or post-traumatic infections with operating room procedures with complications in Illinois

What 8 hospitals in Illinois charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with complications (DRG 857), from 2024 Medicare claims.

DRG 857 Inpatient 2024 Medicare data
Average charge $92,023 Hospital list price billed
Average payment $22,636 Medicare + patient + other payers
Medicare paid $17,255 Average per stay
State rank #9 of 18 1 = lowest average payment

Hospitals in Illinois billed an average of $92,023 for postoperative or post-traumatic infections with operating room procedures with complications, about 4.1 times the average total payment of $22,636. That payment is 5% below the U.S. average of $23,758.

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 $22,636Billed $92,023

About 25¢ 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: postoperative or post-traumatic infections with operating room procedures 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 $83,595 $28,100 $22,251
Evanston HospitalEvanston 18 $55,007 $18,357 $15,833
Memorial Medical CenterSpringfield 17 $120,296 $19,655 $18,206
Advocate Christ Hospital & Medical CenterOak Lawn 17 $88,594 $25,159 $18,835
Northwestern Memorial HospitalChicago 15 $133,322 $32,908 $17,010
Northwest Community HospitalArlington Heights 13 $59,197 $15,020 $13,388
Saint Francis Medical CenterPeoria 12 $115,517 $20,088 $14,897
Carle Foundation HospitalUrbana 12 $86,846 $18,554 $14,329
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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

Northwest Community HospitalArlington Heights, IL$15,020
Evanston HospitalEvanston, IL$18,357
Carle Foundation HospitalUrbana, IL$18,554
Memorial Medical CenterSpringfield, IL$19,655
Saint Francis Medical CenterPeoria, IL$20,088

Highest

Postoperative or post-traumatic infections with operating room procedures with complications in other states

Questions

How much does postoperative or post-traumatic infections with operating room procedures with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with complications (DRG 857) at 8 hospitals in Illinois was billed at $92,023 on average, while the average total payment was $22,636, of which Medicare paid $17,255. 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 4.1 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.