facebook tracking Transurethral prostatectomy with complications cost in Illinois: 3 hospitals compared (DRG 713)

Transurethral prostatectomy with complications in Illinois

What 3 hospitals in Illinois charged and were paid for a Medicare hospital stay for transurethral prostatectomy with complications (DRG 713), from 2024 Medicare claims.

DRG 713 Inpatient 2024 Medicare data
Average charge $62,606 Hospital list price billed
Average payment $14,500 Medicare + patient + other payers
Medicare paid $11,063 Average per stay
State rank #4 of 6 1 = lowest average payment

Hospitals in Illinois billed an average of $62,606 for transurethral prostatectomy with complications, about 4.3 times the average total payment of $14,500. That payment is 1% above the U.S. average of $14,307.

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 $14,500Billed $62,606

About 23¢ 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: transurethral prostatectomy 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 35 $50,645 $13,149 $10,724
Northwestern Memorial HospitalChicago 15 $99,889 $17,889 $15,055
Edward HospitalNaperville 13 $51,791 $14,230 $7,371
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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

Evanston HospitalEvanston, IL$13,149
Edward HospitalNaperville, IL$14,230
Northwestern Memorial HospitalChicago, IL$17,889

Highest

Northwestern Memorial HospitalChicago, IL$17,889
Edward HospitalNaperville, IL$14,230
Evanston HospitalEvanston, IL$13,149

Transurethral prostatectomy with complications in other states

Questions

How much does transurethral prostatectomy with complications cost in Illinois?

In 2024 Medicare data, a hospital stay for transurethral prostatectomy with complications (DRG 713) at 3 hospitals in Illinois was billed at $62,606 on average, while the average total payment was $14,500, of which Medicare paid $11,063. 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.