Pulmonary embolism without major complications in Illinois
What 28 hospitals in Illinois charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$38,508
Hospital list price billed
Average payment
$8,201
Medicare + patient + other payers
Medicare paid
$5,415
Average per stay
State rank
#27 of 39
1 = lowest average payment
Hospitals in Illinois billed an average of $38,508 for pulmonary embolism without major complications, about 4.7 times the average total payment of $8,201. That payment is 1% below the U.S. average of $8,294.
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 $8,201Billed $38,508
About 21¢ 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 without 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 |
|---|---|---|---|---|
| Evanston HospitalEvanston | 46 | $35,839 | $7,876 | $5,774 |
| Saint Francis Medical CenterPeoria | 32 | $40,837 | $7,765 | $5,913 |
| Northwestern Medicine McHenryMcHenry | 31 | $38,042 | $7,546 | $5,084 |
| Palos Community HospitalPalos Heights | 29 | $35,732 | $6,207 | $4,366 |
| Northwest Community HospitalArlington Heights | 26 | $30,893 | $6,521 | $5,075 |
| Edward HospitalNaperville | 25 | $44,687 | $5,994 | $4,439 |
| Decatur Memorial HospitalDecatur | 24 | $28,713 | $7,421 | $4,895 |
| Memorial Medical CenterSpringfield | 24 | $41,295 | $8,657 | $5,000 |
| The University of Chicago Medical CenterChicago | 23 | $63,086 | $13,570 | $8,083 |
| Elmhurst Memorial HospitalElmhurst | 22 | $36,827 | $9,222 | $4,458 |
| Carle Foundation HospitalUrbana | 21 | $40,110 | $7,495 | $5,503 |
| Memorial HospitalBelleville | 20 | $42,808 | $8,204 | $4,688 |
| Northwestern Memorial HospitalChicago | 19 | $52,666 | $10,597 | $6,351 |
| Blessing HospitalQuincy | 18 | $46,382 | $6,755 | $4,994 |
| Rush Oak Park HospitalOak Park | 17 | $21,890 | $6,762 | $5,478 |
| Lake Forest HospitalLake Forest | 17 | $44,232 | $13,134 | $4,923 |
| Central Dupage HospitalWinfield | 17 | $51,775 | $7,202 | $6,050 |
| St Johns HospitalSpringfield | 15 | $33,502 | $8,232 | $4,320 |
| Rush University Medical CenterChicago | 15 | $30,720 | $13,091 | $7,932 |
| Ingalls Memorial HospitalHarvey | 15 | $33,658 | $7,459 | $6,021 |
| Silver Cross HospitalJoliet | 15 | $18,659 | $6,111 | $5,241 |
| Bromenn Healthcare SystemNormal | 14 | $33,364 | $6,424 | $4,751 |
| Sherman HospitalElgin | 13 | $41,476 | $10,203 | $4,823 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 13 | $35,951 | $11,122 | $5,351 |
| St Alexius Medical CenterSchaumburg | 12 | $33,967 | $6,768 | $5,658 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 11 | $51,484 | $9,910 | $7,518 |
| Sarah Bush Lincoln Health CenterMattoon | 11 | $30,693 | $6,071 | $5,032 |
| Advocate Good Shepherd HospitalBarrington | 11 | $27,864 | $5,635 | $4,596 |
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
| Advocate Good Shepherd HospitalBarrington, IL | $5,635 |
|---|---|
| Edward HospitalNaperville, IL | $5,994 |
| Sarah Bush Lincoln Health CenterMattoon, IL | $6,071 |
| Silver Cross HospitalJoliet, IL | $6,111 |
| Palos Community HospitalPalos Heights, IL | $6,207 |
Highest
| The University of Chicago Medical CenterChicago, IL | $13,570 |
|---|---|
| Lake Forest HospitalLake Forest, IL | $13,134 |
| Rush University Medical CenterChicago, IL | $13,091 |
| Advocate Christ Hospital & Medical CenterOak Lawn, IL | $11,122 |
| Northwestern Memorial HospitalChicago, IL | $10,597 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 28 hospitals in Illinois was billed at $38,508 on average, while the average total payment was $8,201, of which Medicare paid $5,415. 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 4.7 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.