facebook tracking Pulmonary edema and respiratory failure cost in Illinois: 92 hospitals compared (DRG 189)

Pulmonary edema and respiratory failure in Illinois

What 92 hospitals in Illinois charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.

DRG 189 Inpatient 2024 Medicare data
Average charge $50,467 Hospital list price billed
Average payment $11,432 Medicare + patient + other payers
Medicare paid $9,144 Average per stay
State rank #27 of 50 1 = lowest average payment

Hospitals in Illinois billed an average of $50,467 for pulmonary edema and respiratory failure, about 4.4 times the average total payment of $11,432. That payment is 6% below the U.S. average of $12,197.

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 $11,432Billed $50,467

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

Illinois hospitals: pulmonary edema and respiratory failure

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 166 $45,974 $11,360 $9,460
Northwestern Medicine McHenryMcHenry 115 $50,675 $11,397 $8,368
Edward HospitalNaperville 109 $63,208 $10,939 $7,443
St Johns HospitalSpringfield 100 $57,284 $10,233 $8,596
Advocate Christ Hospital & Medical CenterOak Lawn 99 $43,524 $12,587 $9,859
Advocate Lutheran General HospitalPark Ridge 99 $58,062 $12,481 $10,208
Northwest Community HospitalArlington Heights 98 $34,382 $9,068 $8,020
Javon Bea HospitalRockford 96 $57,986 $12,346 $9,818
Elmhurst Memorial HospitalElmhurst 94 $57,243 $10,116 $7,815
Sherman HospitalElgin 88 $46,338 $9,689 $8,548
Decatur Memorial HospitalDecatur 86 $55,165 $12,352 $8,606
Advocate Good Samaritan HospitalDowners Grove 85 $47,895 $11,001 $7,628
Central Dupage HospitalWinfield 84 $53,266 $11,500 $8,932
Advocate Good Shepherd HospitalBarrington 82 $39,974 $9,419 $7,404
Swedish American HospitalRockford 81 $56,577 $10,711 $9,051
Memorial Hospital of CarbondaleCarbondale 79 $43,618 $10,342 $8,572
Franciscan Health Olympia & Chicago HeightsOlympia Fields 74 $51,624 $14,712 $11,122
Palos Community HospitalPalos Heights 73 $42,792 $8,428 $7,445
Herrin HospitalHerrin 72 $38,714 $9,363 $7,597
Advocate Condell Medical CenterLibertyville 72 $59,835 $11,131 $7,941
Saint Francis Medical CenterPeoria 66 $63,458 $14,274 $9,143
Sarah Bush Lincoln Health CenterMattoon 66 $38,432 $9,250 $7,472
Northwestern Memorial HospitalChicago 66 $76,932 $15,243 $11,516
St Anthonys Memorial HospitalEffingham 63 $26,157 $10,897 $9,261
Copley Memorial HospitalAurora 61 $44,787 $11,032 $8,814
Good Samaritan Regional Hlth CenterMt Vernon 61 $35,422 $9,003 $7,880
Provena St Joseph Medical CenterJoliet 59 $59,473 $9,340 $8,414
St Elizabeth HospitalBelleville 59 $51,690 $10,096 $7,931
Carle Foundation HospitalUrbana 58 $59,107 $11,260 $9,613
Resurrection Medical CenterChicago 56 $56,889 $11,127 $9,598
Memorial Medical CenterSpringfield 53 $57,711 $12,607 $8,297
Rush University Medical CenterChicago 52 $41,124 $16,492 $12,974
Trinity Rock IslandRock Island 52 $32,194 $9,045 $8,010
The University of Chicago Medical CenterChicago 51 $104,906 $18,744 $13,799
Advocate Trinity HospitalChicago 50 $39,995 $10,105 $8,567
Riverside Medical CenterKankakee 46 $32,180 $10,902 $8,583
Methodist Medical Center of IllinoisPeoria 46 $54,507 $10,623 $8,799
Vista Medical Center EastWaukegan 45 $72,194 $9,791 $8,579
Anderson HospitalMaryville 44 $52,830 $9,168 $8,205
Silver Cross HospitalJoliet 42 $22,077 $10,542 $7,561
Alexian Brothers Medical CenterElk Grove Village 42 $49,259 $9,522 $8,459
Memorial HospitalBelleville 40 $54,141 $9,277 $8,081
Kishwaukee Community HospitalDekalb 40 $51,619 $9,639 $8,513
St Marys HospitalCentralia 38 $28,922 $9,905 $9,003
Adventist la Grange Memorial HospitalLa Grange 36 $36,671 $9,718 $8,208
St Marys HospitalDecatur 35 $43,604 $9,086 $8,026
Delnor Community HospitalGeneva 35 $53,174 $10,073 $8,662
Heartland Regional Medical CenterMarion 33 $71,429 $8,753 $7,615
Loyola University Medical CenterMaywood 33 $58,874 $17,759 $11,830
Morris Hospital & Healthcare CentersMorris 32 $57,236 $9,650 $8,172
University of Illinois Hospital and ClinicsChicago 31 $87,900 $20,672 $14,411
St Alexius Medical CenterSchaumburg 30 $48,896 $9,946 $8,818
Alton Memorial HospitalAlton 29 $40,748 $9,551 $8,517
Hinsdale HospitalHinsdale 29 $30,571 $10,120 $8,186
Provena - Saint Joseph HospitalElgin 29 $66,280 $10,459 $8,627
Blessing HospitalQuincy 28 $54,055 $12,627 $8,088
Bromenn Healthcare SystemNormal 28 $32,614 $9,555 $8,037
Saint Anthony Medical CenterRockford 28 $52,353 $11,496 $8,119
Cgh Medical CenterSterling 27 $54,613 $9,116 $8,270
Provena St Marys HospitalKankakee 27 $64,171 $9,674 $8,829
Swedish Covenant HospitalChicago 26 $51,579 $12,206 $10,481
Loyola Gottlieb Memorial HospitalMelrose Park 25 $58,501 $10,022 $7,766
Macneal HospitalBerwyn 24 $64,536 $14,700 $10,404
St Mary Medical CenterGalesburg 23 $57,054 $12,791 $11,763
Provena Mercy Medical CenterAurora 23 $64,045 $16,462 $8,802
Louis a Weiss Memorial HospitalChicago 22 $38,032 $13,738 $11,025
Advocate Illinois Masonic Medical CenterChicago 22 $46,320 $15,581 $12,048
Fhn Memorial HospitalFreeport 21 $38,491 $9,612 $8,757
St Mary & Elizabeth Med Ctr-Division CampusChicago 21 $61,624 $12,178 $11,009
Proctor HospitalPeoria 20 $66,347 $10,789 $9,055
Pekin Memorial HospitalPekin 20 $36,311 $8,694 $7,552
Saint Anthony's Health CenterAlton 19 $28,192 $9,023 $8,425
Rhc St Francis HospitalEvanston 19 $65,667 $21,644 $10,120
Adventist Bolingbrook HospitalBolingbrook 19 $39,283 $9,754 $8,981
St Joseph Medical CenterBloomington 18 $40,631 $8,929 $8,017
Adventist GlenoaksGlendale Heights 18 $38,010 $11,884 $8,263
John H Stroger Jr HospitalChicago 17 $53,578 $56,458 $53,074
Rush Oak Park HospitalOak Park 16 $24,280 $9,935 $8,482
Harrisburg Medical CenterHarrisburg 16 $28,734 $11,797 $10,879
OSF Saint Katharine Medical CenterDixon 15 $40,451 $10,402 $9,016
Lake Forest HospitalLake Forest 15 $79,652 $10,922 $9,272
Little Company of Mary HospitalEvergreen Park 15 $50,196 $10,850 $7,244
West Suburban Hosp Med CenterOak Park 14 $48,458 $12,155 $10,036
OSF Saint Elizabeth Mdl CtrOttawa 14 $28,900 $10,021 $9,088
OSF Saint James HospitalPontiac 14 $41,659 $12,524 $11,708
Graham Hospital AssociationCanton 13 $33,969 $13,012 $9,898
OSF Sacred Heart Medical CenterDanville 13 $44,947 $9,199 $8,445
Holy Cross HospitalChicago 13 $65,804 $13,172 $12,168
Illini HospitalSilvis 13 $23,096 $9,491 $8,362
Mt Sinai Hospital Medical CenterChicago 12 $44,043 $16,425 $14,486
Ingalls Memorial HospitalHarvey 12 $40,197 $10,621 $9,901
Humboldt Park HealthChicago 11 $74,215 $14,441 $12,915
Advertisement

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$8,428
Pekin Memorial HospitalPekin, IL$8,694
Heartland Regional Medical CenterMarion, IL$8,753
St Joseph Medical CenterBloomington, IL$8,929
Good Samaritan Regional Hlth CenterMt Vernon, IL$9,003

Pulmonary edema and respiratory failure in other states

Questions

How much does pulmonary edema and respiratory failure cost in Illinois?

In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 92 hospitals in Illinois was billed at $50,467 on average, while the average total payment was $11,432, of which Medicare paid $9,144. 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.