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.
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.
About 21¢ was paid for every $1 hospitals in Illinois billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Illinois:
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 |
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.
| 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 |
| 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 |
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.
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.