Simple pneumonia and pleurisy with complications in Illinois
What 67 hospitals in Illinois charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$32,938
Hospital list price billed
Average payment
$7,659
Medicare + patient + other payers
Medicare paid
$5,262
Average per stay
State rank
#27 of 47
1 = lowest average payment
Hospitals in Illinois billed an average of $32,938 for simple pneumonia and pleurisy with complications, about 4.3 times the average total payment of $7,659. That payment is 4% below the U.S. average of $7,941.
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 $7,659Billed $32,938
About 23¢ 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:
Illinois hospitals: simple pneumonia and pleurisy with 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 | 149 | $28,151 | $7,744 | $5,664 |
| Memorial Medical CenterSpringfield | 83 | $39,726 | $7,315 | $5,124 |
| Edward HospitalNaperville | 78 | $31,555 | $6,931 | $4,203 |
| Northwestern Medicine McHenryMcHenry | 68 | $36,395 | $7,744 | $4,974 |
| Northwest Community HospitalArlington Heights | 64 | $23,095 | $6,295 | $4,773 |
| Palos Community HospitalPalos Heights | 63 | $28,906 | $6,188 | $4,173 |
| Blessing HospitalQuincy | 58 | $38,542 | $6,830 | $4,940 |
| Decatur Memorial HospitalDecatur | 58 | $25,086 | $6,578 | $4,756 |
| Anderson HospitalMaryville | 58 | $38,099 | $6,350 | $5,170 |
| Sarah Bush Lincoln Health CenterMattoon | 55 | $29,873 | $6,971 | $4,521 |
| Fhn Memorial HospitalFreeport | 48 | $28,304 | $6,745 | $5,555 |
| The University of Chicago Medical CenterChicago | 40 | $53,768 | $13,693 | $8,428 |
| Memorial HospitalBelleville | 40 | $38,406 | $6,941 | $4,832 |
| Silver Cross HospitalJoliet | 39 | $16,063 | $6,809 | $4,230 |
| Saint Francis Medical CenterPeoria | 38 | $26,883 | $8,313 | $5,524 |
| Advocate Lutheran General HospitalPark Ridge | 38 | $36,233 | $8,189 | $6,068 |
| Advocate Condell Medical CenterLibertyville | 37 | $43,406 | $8,096 | $4,617 |
| Copley Memorial HospitalAurora | 33 | $42,051 | $13,042 | $4,854 |
| Elmhurst Memorial HospitalElmhurst | 31 | $33,181 | $7,086 | $4,739 |
| Central Dupage HospitalWinfield | 30 | $42,366 | $9,565 | $5,457 |
| Alexian Brothers Medical CenterElk Grove Village | 30 | $36,164 | $6,718 | $5,071 |
| Cgh Medical CenterSterling | 28 | $32,644 | $7,270 | $4,743 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 27 | $30,600 | $8,371 | $5,871 |
| Sherman HospitalElgin | 26 | $35,620 | $6,642 | $5,231 |
| Good Samaritan Regional Hlth CenterMt Vernon | 26 | $29,442 | $6,165 | $4,792 |
| Riverside Medical CenterKankakee | 26 | $29,043 | $6,817 | $5,213 |
| Loyola University Medical CenterMaywood | 26 | $47,693 | $13,463 | $7,340 |
| Advocate Good Samaritan HospitalDowners Grove | 26 | $35,144 | $6,031 | $4,517 |
| Rush University Medical CenterChicago | 24 | $22,665 | $10,902 | $8,225 |
| Herrin HospitalHerrin | 23 | $30,050 | $7,074 | $4,638 |
| Advocate Good Shepherd HospitalBarrington | 23 | $22,930 | $5,686 | $4,479 |
| Provena St Joseph Medical CenterJoliet | 22 | $39,769 | $9,325 | $4,847 |
| Macneal HospitalBerwyn | 22 | $36,285 | $9,520 | $6,324 |
| Adventist la Grange Memorial HospitalLa Grange | 22 | $23,092 | $6,645 | $4,832 |
| St Johns HospitalSpringfield | 20 | $32,299 | $7,104 | $5,182 |
| Trinity Rock IslandRock Island | 20 | $21,415 | $6,187 | $4,718 |
| St Alexius Medical CenterSchaumburg | 20 | $31,457 | $6,822 | $5,501 |
| St Elizabeth HospitalBelleville | 19 | $31,063 | $6,202 | $4,970 |
| Alton Memorial HospitalAlton | 18 | $28,586 | $7,398 | $4,901 |
| St Marys HospitalDecatur | 18 | $34,308 | $6,372 | $5,284 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 18 | $38,774 | $9,728 | $6,650 |
| Morris Hospital & Healthcare CentersMorris | 17 | $40,998 | $6,317 | $4,975 |
| Northwestern Memorial HospitalChicago | 17 | $35,027 | $8,949 | $6,638 |
| St Marys HospitalCentralia | 16 | $27,309 | $6,669 | $5,343 |
| Carle Foundation HospitalUrbana | 16 | $35,643 | $7,364 | $6,151 |
| St Joseph Medical CenterBloomington | 16 | $28,261 | $9,430 | $3,954 |
| Little Company of Mary HospitalEvergreen Park | 16 | $25,588 | $7,292 | $5,316 |
| Saint Anthony Medical CenterRockford | 16 | $35,773 | $6,817 | $5,270 |
| St Anthonys Memorial HospitalEffingham | 15 | $34,746 | $7,553 | $6,573 |
| Advocate Trinity HospitalChicago | 15 | $31,502 | $7,324 | $4,739 |
| St Mary Medical CenterGalesburg | 15 | $32,989 | $8,421 | $7,224 |
| Lake Forest HospitalLake Forest | 15 | $41,321 | $7,305 | $5,809 |
| OSF Saint Elizabeth Mdl CtrOttawa | 14 | $25,574 | $6,864 | $5,815 |
| Resurrection Medical CenterChicago | 14 | $48,386 | $7,124 | $5,222 |
| Bromenn Healthcare SystemNormal | 14 | $27,105 | $6,417 | $4,712 |
| University of Illinois Hospital and ClinicsChicago | 14 | $39,178 | $15,245 | $7,558 |
| Memorial Hospital of CarbondaleCarbondale | 14 | $25,652 | $7,283 | $4,957 |
| Javon Bea HospitalRockford | 14 | $37,030 | $9,775 | $5,451 |
| Jersey Community HospitalJerseyville | 13 | $21,352 | $6,998 | $5,742 |
| Swedish Covenant HospitalChicago | 13 | $25,890 | $12,159 | $5,353 |
| Hinsdale HospitalHinsdale | 13 | $19,802 | $6,769 | $5,166 |
| Delnor Community HospitalGeneva | 13 | $36,880 | $6,767 | $4,916 |
| Community First Medical CenterChicago | 13 | $43,605 | $6,895 | $5,329 |
| Swedish American HospitalRockford | 12 | $40,554 | $6,945 | $5,469 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 11 | $40,011 | $6,546 | $4,895 |
| Thorek Memorial HospitalChicago | 11 | $29,931 | $6,896 | $5,598 |
| Provena St Marys HospitalKankakee | 11 | $52,198 | $6,618 | $5,876 |
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 | $5,686 |
|---|---|
| Advocate Good Samaritan HospitalDowners Grove, IL | $6,031 |
| Good Samaritan Regional Hlth CenterMt Vernon, IL | $6,165 |
| Trinity Rock IslandRock Island, IL | $6,187 |
| Palos Community HospitalPalos Heights, IL | $6,188 |
Highest
| University of Illinois Hospital and ClinicsChicago, IL | $15,245 |
|---|---|
| The University of Chicago Medical CenterChicago, IL | $13,693 |
| Loyola University Medical CenterMaywood, IL | $13,463 |
| Copley Memorial HospitalAurora, IL | $13,042 |
| Swedish Covenant HospitalChicago, IL | $12,159 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Illinois?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 67 hospitals in Illinois was billed at $32,938 on average, while the average total payment was $7,659, of which Medicare paid $5,262. 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 4.3 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.