facebook tracking Respiratory infections and inflammations without complications cost in Illinois: 6 hospitals compared (DRG 179)

Respiratory infections and inflammations without complications in Illinois

What 6 hospitals in Illinois charged and were paid for a Medicare hospital stay for respiratory infections and inflammations without complications (DRG 179), from 2024 Medicare claims.

DRG 179 Inpatient 2024 Medicare data
Average charge $31,166 Hospital list price billed
Average payment $6,644 Medicare + patient + other payers
Medicare paid $4,794 Average per stay
State rank #2 of 8 1 = lowest average payment

Hospitals in Illinois billed an average of $31,166 for respiratory infections and inflammations without complications, about 4.7 times the average total payment of $6,644. That payment is 7% below the U.S. average of $7,142.

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 $6,644Billed $31,166

About 21¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: respiratory infections and inflammations without 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 28 $27,152 $7,077 $5,233
Lake Forest HospitalLake Forest 18 $37,478 $6,896 $5,315
Central Dupage HospitalWinfield 17 $49,644 $7,900 $5,001
Northwest Community HospitalArlington Heights 14 $18,227 $5,714 $4,199
Palos Community HospitalPalos Heights 11 $34,636 $5,302 $3,670
Silver Cross HospitalJoliet 11 $15,497 $5,718 $4,383
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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

Palos Community HospitalPalos Heights, IL$5,302
Northwest Community HospitalArlington Heights, IL$5,714
Silver Cross HospitalJoliet, IL$5,718
Lake Forest HospitalLake Forest, IL$6,896
Evanston HospitalEvanston, IL$7,077

Highest

Central Dupage HospitalWinfield, IL$7,900
Evanston HospitalEvanston, IL$7,077
Lake Forest HospitalLake Forest, IL$6,896
Silver Cross HospitalJoliet, IL$5,718
Northwest Community HospitalArlington Heights, IL$5,714

Respiratory infections and inflammations without complications in other states

Questions

How much does respiratory infections and inflammations without complications cost in Illinois?

In 2024 Medicare data, a hospital stay for respiratory infections and inflammations without complications (DRG 179) at 6 hospitals in Illinois was billed at $31,166 on average, while the average total payment was $6,644, of which Medicare paid $4,794. 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.