Spinal fusion except cervical without major complications in Illinois
What 23 hospitals in Illinois charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.
Average charge
$140,587
Hospital list price billed
Average payment
$34,731
Medicare + patient + other payers
Medicare paid
$26,363
Average per stay
State rank
#32 of 43
1 = lowest average payment
Hospitals in Illinois billed an average of $140,587 for spinal fusion except cervical without major complications, about 4.0 times the average total payment of $34,731. That payment is 2% above the U.S. average of $34,025.
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 $34,731Billed $140,587
About 25¢ 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: spinal fusion except cervical 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 |
|---|---|---|---|---|
| Rush University Medical CenterChicago | 74 | $111,268 | $45,383 | $37,889 |
| Evanston HospitalEvanston | 67 | $118,565 | $30,883 | $27,467 |
| Elmhurst Memorial HospitalElmhurst | 54 | $133,387 | $26,111 | $24,539 |
| Alexian Brothers Medical CenterElk Grove Village | 45 | $117,728 | $29,586 | $24,890 |
| Edward HospitalNaperville | 40 | $126,824 | $32,930 | $21,687 |
| Memorial Medical CenterSpringfield | 38 | $188,810 | $31,273 | $25,423 |
| Northwest Community HospitalArlington Heights | 33 | $118,613 | $29,918 | $21,955 |
| Saint Francis Medical CenterPeoria | 24 | $202,567 | $48,545 | $26,409 |
| Bromenn Healthcare SystemNormal | 23 | $95,726 | $29,881 | $23,413 |
| Methodist Medical Center of IllinoisPeoria | 23 | $178,199 | $28,832 | $26,516 |
| Delnor Community HospitalGeneva | 23 | $143,570 | $27,975 | $26,261 |
| Northwestern Memorial HospitalChicago | 23 | $215,128 | $44,663 | $31,011 |
| St Elizabeth HospitalBelleville | 22 | $105,468 | $31,404 | $22,733 |
| Advocate Good Samaritan HospitalDowners Grove | 21 | $134,912 | $38,568 | $23,383 |
| Provena St Joseph Medical CenterJoliet | 17 | $155,265 | $32,867 | $23,078 |
| St Johns HospitalSpringfield | 17 | $130,699 | $29,123 | $25,139 |
| Advocate Lutheran General HospitalPark Ridge | 15 | $82,874 | $40,492 | $26,455 |
| Hinsdale HospitalHinsdale | 14 | $151,723 | $29,279 | $27,364 |
| Palos Community HospitalPalos Heights | 12 | $134,183 | $44,176 | $18,148 |
| Decatur Memorial HospitalDecatur | 12 | $115,164 | $30,947 | $22,814 |
| Memorial Hospital of CarbondaleCarbondale | 11 | $211,443 | $43,309 | $26,529 |
| Provena - Saint Joseph HospitalElgin | 11 | $160,283 | $24,577 | $19,034 |
| Central Dupage HospitalWinfield | 11 | $350,378 | $73,852 | $25,319 |
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
| Provena - Saint Joseph HospitalElgin, IL | $24,577 |
|---|---|
| Elmhurst Memorial HospitalElmhurst, IL | $26,111 |
| Delnor Community HospitalGeneva, IL | $27,975 |
| Methodist Medical Center of IllinoisPeoria, IL | $28,832 |
| St Johns HospitalSpringfield, IL | $29,123 |
Highest
| Central Dupage HospitalWinfield, IL | $73,852 |
|---|---|
| Saint Francis Medical CenterPeoria, IL | $48,545 |
| Rush University Medical CenterChicago, IL | $45,383 |
| Northwestern Memorial HospitalChicago, IL | $44,663 |
| Palos Community HospitalPalos Heights, IL | $44,176 |
Spinal fusion except cervical without major complications in other states
Questions
How much does spinal fusion except cervical without major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 23 hospitals in Illinois was billed at $140,587 on average, while the average total payment was $34,731, of which Medicare paid $26,363. 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 4.0 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.