Simple pneumonia and pleurisy with major complications in Illinois
What 102 hospitals in Illinois charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$49,116
Hospital list price billed
Average payment
$11,824
Medicare + patient + other payers
Medicare paid
$9,227
Average per stay
State rank
#32 of 50
1 = lowest average payment
Hospitals in Illinois billed an average of $49,116 for simple pneumonia and pleurisy with major complications, about 4.2 times the average total payment of $11,824. That payment is 2% below the U.S. average of $12,020.
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 $11,824Billed $49,116
About 24¢ 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 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 | 176 | $43,491 | $11,822 | $9,830 |
| Northwest Community HospitalArlington Heights | 162 | $31,623 | $10,154 | $8,138 |
| Edward HospitalNaperville | 151 | $54,894 | $12,686 | $7,638 |
| Swedish American HospitalRockford | 143 | $62,122 | $10,926 | $9,297 |
| Copley Memorial HospitalAurora | 135 | $43,952 | $10,651 | $9,008 |
| Advocate Condell Medical CenterLibertyville | 135 | $63,715 | $11,875 | $8,379 |
| Advocate Lutheran General HospitalPark Ridge | 135 | $58,279 | $13,179 | $10,449 |
| Silver Cross HospitalJoliet | 133 | $23,293 | $9,663 | $7,846 |
| Palos Community HospitalPalos Heights | 120 | $44,020 | $8,908 | $7,801 |
| Memorial Medical CenterSpringfield | 118 | $48,107 | $11,421 | $8,892 |
| Elmhurst Memorial HospitalElmhurst | 116 | $51,361 | $10,541 | $8,239 |
| St Johns HospitalSpringfield | 115 | $53,040 | $12,110 | $9,304 |
| Memorial HospitalBelleville | 114 | $51,181 | $10,112 | $8,065 |
| Blessing HospitalQuincy | 112 | $57,476 | $11,004 | $8,471 |
| Sherman HospitalElgin | 111 | $51,299 | $11,063 | $8,844 |
| Advocate Good Shepherd HospitalBarrington | 105 | $44,035 | $9,801 | $7,787 |
| Advocate Good Samaritan HospitalDowners Grove | 98 | $54,126 | $11,574 | $8,299 |
| Northwestern Medicine McHenryMcHenry | 95 | $48,582 | $13,289 | $8,685 |
| Resurrection Medical CenterChicago | 93 | $70,378 | $13,351 | $9,773 |
| Good Samaritan Regional Hlth CenterMt Vernon | 87 | $39,216 | $9,925 | $8,210 |
| Carle Foundation HospitalUrbana | 87 | $66,088 | $11,406 | $9,532 |
| Herrin HospitalHerrin | 82 | $33,225 | $10,136 | $7,953 |
| Alexian Brothers Medical CenterElk Grove Village | 82 | $50,568 | $11,639 | $8,692 |
| Anderson HospitalMaryville | 82 | $45,549 | $9,807 | $8,548 |
| Saint Francis Medical CenterPeoria | 81 | $62,344 | $13,358 | $9,047 |
| Advocate Christ Hospital & Medical CenterOak Lawn | 80 | $47,454 | $14,784 | $10,127 |
| St Alexius Medical CenterSchaumburg | 74 | $53,310 | $10,878 | $9,698 |
| Decatur Memorial HospitalDecatur | 72 | $40,673 | $10,454 | $8,610 |
| Provena St Joseph Medical CenterJoliet | 71 | $60,881 | $9,819 | $8,627 |
| St Anthonys Memorial HospitalEffingham | 71 | $30,440 | $11,496 | $9,753 |
| Riverside Medical CenterKankakee | 70 | $32,350 | $10,374 | $8,795 |
| St Marys HospitalCentralia | 68 | $26,585 | $10,887 | $9,449 |
| The University of Chicago Medical CenterChicago | 68 | $93,862 | $21,062 | $13,713 |
| Trinity Rock IslandRock Island | 67 | $31,280 | $9,859 | $8,172 |
| Franciscan Health Olympia & Chicago HeightsOlympia Fields | 63 | $48,495 | $14,965 | $11,608 |
| Little Company of Mary HospitalEvergreen Park | 63 | $37,906 | $11,106 | $9,224 |
| Adventist la Grange Memorial HospitalLa Grange | 62 | $38,108 | $10,175 | $8,680 |
| Memorial Hospital of CarbondaleCarbondale | 59 | $42,152 | $10,376 | $8,700 |
| Alton Memorial HospitalAlton | 55 | $50,313 | $11,268 | $8,032 |
| Rush University Medical CenterChicago | 55 | $33,587 | $17,648 | $13,618 |
| Saint Anthony Medical CenterRockford | 55 | $50,201 | $12,347 | $7,963 |
| OSF Sacred Heart Medical CenterDanville | 52 | $54,155 | $12,392 | $8,004 |
| Hinsdale HospitalHinsdale | 50 | $34,143 | $10,824 | $8,507 |
| Rhc St Francis HospitalEvanston | 49 | $73,862 | $15,601 | $11,486 |
| Cgh Medical CenterSterling | 45 | $52,432 | $9,806 | $8,755 |
| Provena St Marys HospitalKankakee | 45 | $89,504 | $10,311 | $9,152 |
| Sarah Bush Lincoln Health CenterMattoon | 45 | $41,590 | $9,548 | $8,171 |
| St Joseph Medical CenterBloomington | 43 | $46,683 | $9,589 | $8,290 |
| Bromenn Healthcare SystemNormal | 42 | $35,513 | $9,993 | $8,339 |
| Central Dupage HospitalWinfield | 42 | $64,298 | $12,342 | $9,394 |
| Vista Medical Center EastWaukegan | 41 | $81,834 | $10,124 | $8,991 |
| St Elizabeth HospitalBelleville | 41 | $45,318 | $10,146 | $9,101 |
| Loyola University Medical CenterMaywood | 41 | $77,730 | $34,165 | $11,393 |
| Provena Mercy Medical CenterAurora | 39 | $70,942 | $11,317 | $9,297 |
| Provena - Saint Joseph HospitalElgin | 39 | $70,410 | $10,642 | $9,187 |
| Swedish Covenant HospitalChicago | 38 | $40,279 | $13,456 | $10,168 |
| Adventist Bolingbrook HospitalBolingbrook | 37 | $34,108 | $10,096 | $9,017 |
| Loyola Gottlieb Memorial HospitalMelrose Park | 35 | $54,304 | $10,217 | $8,728 |
| OSF Saint Katharine Medical CenterDixon | 35 | $41,656 | $10,489 | $8,837 |
| Advocate Trinity HospitalChicago | 35 | $45,360 | $11,232 | $9,110 |
| Morris Hospital & Healthcare CentersMorris | 34 | $59,155 | $10,867 | $8,304 |
| St Mary Medical CenterGalesburg | 33 | $33,721 | $13,630 | $12,691 |
| Mc Donough District HospitalMacomb | 33 | $28,944 | $12,448 | $11,509 |
| Javon Bea HospitalRockford | 32 | $56,137 | $14,125 | $10,046 |
| Adventist GlenoaksGlendale Heights | 31 | $36,026 | $13,843 | $8,163 |
| Saint Anthony's Health CenterAlton | 30 | $31,365 | $10,084 | $8,048 |
| Delnor Community HospitalGeneva | 29 | $46,643 | $12,752 | $8,797 |
| St Josephs HospitalBreese | 28 | $30,662 | $11,147 | $9,807 |
| Advocate Illinois Masonic Medical CenterChicago | 28 | $50,131 | $16,480 | $12,252 |
| Ingalls Memorial HospitalHarvey | 28 | $41,739 | $11,171 | $9,677 |
| St Marys HospitalDecatur | 27 | $42,693 | $10,610 | $7,708 |
| Kishwaukee Community HospitalDekalb | 25 | $58,315 | $11,085 | $9,977 |
| Macneal HospitalBerwyn | 24 | $52,928 | $14,118 | $11,466 |
| OSF Heart of Mary Medical CenterUrbana | 24 | $60,100 | $10,069 | $7,590 |
| Fhn Memorial HospitalFreeport | 24 | $43,184 | $10,449 | $9,293 |
| OSF Saint Elizabeth Mdl CtrOttawa | 23 | $38,168 | $10,791 | $9,051 |
| Methodist Medical Center of IllinoisPeoria | 23 | $63,489 | $11,720 | $9,214 |
| Rush Oak Park HospitalOak Park | 22 | $23,744 | $10,286 | $8,827 |
| Holy Cross HospitalChicago | 22 | $59,223 | $11,693 | $10,729 |
| Heartland Regional Medical CenterMarion | 22 | $65,485 | $9,263 | $8,227 |
| Northwestern Memorial HospitalChicago | 22 | $55,579 | $14,283 | $10,894 |
| Proctor HospitalPeoria | 19 | $62,399 | $9,174 | $7,715 |
| Lake Forest HospitalLake Forest | 19 | $58,471 | $14,884 | $9,516 |
| West Suburban Hosp Med CenterOak Park | 18 | $48,038 | $13,311 | $10,776 |
| Pekin Memorial HospitalPekin | 18 | $35,715 | $9,392 | $7,946 |
| University of Illinois Hospital and ClinicsChicago | 18 | $50,877 | $20,367 | $15,325 |
| OSF Saint James HospitalPontiac | 18 | $31,370 | $13,487 | $12,040 |
| St Mary & Elizabeth Med Ctr-Division CampusChicago | 18 | $71,338 | $11,660 | $10,469 |
| Harrisburg Medical CenterHarrisburg | 18 | $23,936 | $11,785 | $11,150 |
| Saint Joseph HospitalChicago | 17 | $50,427 | $12,977 | $10,091 |
| Community First Medical CenterChicago | 17 | $48,557 | $10,870 | $9,656 |
| Gateway Regional Medical CenterGranite City | 16 | $103,318 | $10,595 | $9,371 |
| HSHS Holy Family HospitalGreenville | 16 | $24,655 | $11,389 | $10,063 |
| Carle Richland Memorial HospitalOlney | 16 | $40,075 | $11,301 | $9,975 |
| Louis a Weiss Memorial HospitalChicago | 15 | $43,308 | $15,202 | $11,645 |
| Roseland Community HospitalChicago | 14 | $53,920 | $11,179 | $9,963 |
| Mt Sinai Hospital Medical CenterChicago | 13 | $45,859 | $17,843 | $15,663 |
| Illini HospitalSilvis | 13 | $23,975 | $10,014 | $8,414 |
| Crossroads Community HospitalMt Vernon | 13 | $46,668 | $11,114 | $8,991 |
| Graham Hospital AssociationCanton | 11 | $25,859 | $13,573 | $10,394 |
| John H Stroger Jr HospitalChicago | 11 | $34,786 | $58,655 | $54,099 |
| Insight Hospital and Medical Center ChicagoChicago | 11 | $56,159 | $14,603 | $13,166 |
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 | $8,908 |
|---|---|
| Proctor HospitalPeoria, IL | $9,174 |
| Heartland Regional Medical CenterMarion, IL | $9,263 |
| Pekin Memorial HospitalPekin, IL | $9,392 |
| Sarah Bush Lincoln Health CenterMattoon, IL | $9,548 |
Highest
| John H Stroger Jr HospitalChicago, IL | $58,655 |
|---|---|
| Loyola University Medical CenterMaywood, IL | $34,165 |
| The University of Chicago Medical CenterChicago, IL | $21,062 |
| University of Illinois Hospital and ClinicsChicago, IL | $20,367 |
| Mt Sinai Hospital Medical CenterChicago, IL | $17,843 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 102 hospitals in Illinois was billed at $49,116 on average, while the average total payment was $11,824, of which Medicare paid $9,227. 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 4.2 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.