facebook tracking Traumatic stupor and coma <1 hour with major complications cost in Illinois: 15 hospitals compared (DRG 085)

Traumatic stupor and coma <1 hour with major complications in Illinois

What 15 hospitals in Illinois charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.

DRG 085 Inpatient 2024 Medicare data
Average charge $83,943 Hospital list price billed
Average payment $20,631 Medicare + patient + other payers
Medicare paid $16,687 Average per stay
State rank #12 of 27 1 = lowest average payment

Hospitals in Illinois billed an average of $83,943 for traumatic stupor and coma <1 hour with major complications, about 4.1 times the average total payment of $20,631. That payment is 7% below the U.S. average of $22,150.

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 $20,631Billed $83,943

About 25¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: traumatic stupor and coma <1 hour 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
Saint Francis Medical CenterPeoria 22 $119,904 $27,068 $16,744
Carle Foundation HospitalUrbana 21 $99,361 $21,208 $15,633
Evanston HospitalEvanston 15 $79,972 $19,385 $16,720
Northwestern Medicine McHenryMcHenry 14 $96,102 $20,183 $18,839
Saint Anthony Medical CenterRockford 14 $95,320 $17,971 $15,843
Elmhurst Memorial HospitalElmhurst 13 $81,319 $14,262 $13,132
Alexian Brothers Medical CenterElk Grove Village 13 $54,534 $17,370 $14,202
St Johns HospitalSpringfield 12 $78,365 $17,659 $15,980
Rush University Medical CenterChicago 12 $44,876 $29,153 $22,714
Silver Cross HospitalJoliet 12 $30,859 $15,785 $14,699
Edward HospitalNaperville 12 $67,674 $14,575 $13,215
Loyola University Medical CenterMaywood 12 $135,512 $32,075 $22,481
Northwestern Memorial HospitalChicago 12 $115,973 $24,248 $20,588
Advocate Good Samaritan HospitalDowners Grove 12 $65,659 $15,894 $14,385
Advocate Christ Hospital & Medical CenterOak Lawn 11 $49,010 $18,260 $16,094
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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

Elmhurst Memorial HospitalElmhurst, IL$14,262
Edward HospitalNaperville, IL$14,575
Silver Cross HospitalJoliet, IL$15,785
Advocate Good Samaritan HospitalDowners Grove, IL$15,894
Alexian Brothers Medical CenterElk Grove Village, IL$17,370

Highest

Traumatic stupor and coma <1 hour with major complications in other states

Questions

How much does traumatic stupor and coma <1 hour with major complications cost in Illinois?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 15 hospitals in Illinois was billed at $83,943 on average, while the average total payment was $20,631, of which Medicare paid $16,687. 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 4.1 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.