facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Illinois: 52 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Illinois

What 52 hospitals in Illinois charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.

DRG 175 Inpatient 2024 Medicare data
Average charge $59,753 Hospital list price billed
Average payment $13,125 Medicare + patient + other payers
Medicare paid $10,073 Average per stay
State rank #30 of 48 1 = lowest average payment

Hospitals in Illinois billed an average of $59,753 for pulmonary embolism with major complications or acute cor pulmonale, about 4.6 times the average total payment of $13,125. That payment is 3% below the U.S. average of $13,466.

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 $13,125Billed $59,753

About 22¢ 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: pulmonary embolism with major complications or acute cor pulmonale

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 48 $47,291 $12,745 $10,342
Carle Foundation HospitalUrbana 46 $72,091 $12,452 $9,646
Northwest Community HospitalArlington Heights 43 $43,227 $10,861 $8,716
Northwestern Memorial HospitalChicago 43 $79,669 $16,552 $12,405
Palos Community HospitalPalos Heights 36 $58,560 $9,604 $8,561
Northwestern Medicine McHenryMcHenry 35 $65,459 $11,088 $9,636
Memorial HospitalBelleville 35 $64,538 $10,332 $9,260
Edward HospitalNaperville 35 $62,909 $10,672 $8,631
Advocate Christ Hospital & Medical CenterOak Lawn 33 $74,452 $21,540 $10,932
Elmhurst Memorial HospitalElmhurst 29 $65,784 $12,526 $8,693
Advocate Lutheran General HospitalPark Ridge 29 $66,410 $13,503 $11,841
Central Dupage HospitalWinfield 29 $64,415 $11,889 $9,918
Saint Francis Medical CenterPeoria 27 $63,791 $13,262 $11,053
The University of Chicago Medical CenterChicago 27 $106,534 $27,857 $14,061
Silver Cross HospitalJoliet 27 $28,609 $10,167 $9,080
Blessing HospitalQuincy 26 $75,066 $11,563 $9,746
Delnor Community HospitalGeneva 25 $61,227 $11,271 $9,708
St Johns HospitalSpringfield 24 $43,358 $12,312 $9,804
Memorial Medical CenterSpringfield 23 $46,312 $12,464 $9,827
Advocate Good Samaritan HospitalDowners Grove 23 $42,857 $10,776 $8,192
Alexian Brothers Medical CenterElk Grove Village 22 $54,972 $10,301 $9,128
Saint Anthony Medical CenterRockford 21 $68,266 $11,800 $10,203
Sherman HospitalElgin 20 $57,969 $10,703 $9,662
Rush University Medical CenterChicago 20 $52,955 $19,655 $15,578
Franciscan Health Olympia & Chicago HeightsOlympia Fields 20 $57,223 $16,653 $12,167
Adventist la Grange Memorial HospitalLa Grange 19 $30,537 $10,755 $9,376
Hinsdale HospitalHinsdale 19 $38,719 $12,489 $8,819
Swedish American HospitalRockford 19 $69,907 $11,781 $10,326
Copley Memorial HospitalAurora 18 $59,633 $11,184 $9,487
Alton Memorial HospitalAlton 17 $51,105 $10,783 $9,422
St Joseph Medical CenterBloomington 17 $61,217 $9,906 $9,029
St Elizabeth HospitalBelleville 17 $54,487 $10,526 $9,426
Advocate Condell Medical CenterLibertyville 17 $59,970 $10,704 $9,344
Lake Forest HospitalLake Forest 16 $71,161 $12,608 $9,967
Advocate Good Shepherd HospitalBarrington 16 $38,965 $13,428 $7,590
Advocate Trinity HospitalChicago 15 $51,027 $12,904 $9,147
Provena St Joseph Medical CenterJoliet 14 $75,580 $12,801 $8,724
Resurrection Medical CenterChicago 14 $83,698 $12,098 $10,479
Decatur Memorial HospitalDecatur 14 $53,490 $11,118 $9,718
Herrin HospitalHerrin 13 $48,902 $10,081 $8,825
St Mary Medical CenterGalesburg 13 $53,097 $14,369 $13,365
Bromenn Healthcare SystemNormal 13 $30,999 $10,615 $9,156
Advocate Illinois Masonic Medical CenterChicago 13 $46,323 $17,199 $12,736
Riverside Medical CenterKankakee 13 $52,333 $11,145 $9,484
Little Company of Mary HospitalEvergreen Park 12 $59,072 $16,059 $8,798
Sarah Bush Lincoln Health CenterMattoon 12 $75,477 $14,019 $8,069
Loyola University Medical CenterMaywood 12 $119,885 $24,755 $14,628
Trinity Rock IslandRock Island 12 $24,958 $10,295 $9,207
Good Samaritan Regional Hlth CenterMt Vernon 11 $41,079 $9,663 $8,776
University of Illinois Hospital and ClinicsChicago 11 $74,911 $24,723 $17,044
Methodist Medical Center of IllinoisPeoria 11 $57,886 $21,897 $7,997
St Alexius Medical CenterSchaumburg 11 $56,745 $11,230 $10,147
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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.

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Illinois?

In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 52 hospitals in Illinois was billed at $59,753 on average, while the average total payment was $13,125, of which Medicare paid $10,073. 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 4.6 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.