facebook tracking Traumatic stupor and coma <1 hour without complications cost in Illinois: 4 hospitals compared (DRG 087)

Traumatic stupor and coma <1 hour without complications in Illinois

What 4 hospitals in Illinois charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour without complications (DRG 087), from 2024 Medicare claims.

DRG 087 Inpatient 2024 Medicare data
Average charge $31,867 Hospital list price billed
Average payment $7,568 Medicare + patient + other payers
Medicare paid $5,370 Average per stay
State rank #3 of 9 1 = lowest average payment

Hospitals in Illinois billed an average of $31,867 for traumatic stupor and coma <1 hour without complications, about 4.2 times the average total payment of $7,568. That payment is 13% below the U.S. average of $8,707.

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 $7,568Billed $31,867

About 24¢ was paid for every $1 hospitals in Illinois billed for this stay.

Illinois hospitals: traumatic stupor and coma <1 hour without 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 20 $36,349 $8,242 $6,292
Edward HospitalNaperville 16 $28,003 $6,354 $4,339
Memorial Medical CenterSpringfield 12 $33,965 $7,493 $5,875
Elmhurst Memorial HospitalElmhurst 11 $27,048 $8,191 $4,643
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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

Edward HospitalNaperville, IL$6,354
Memorial Medical CenterSpringfield, IL$7,493
Elmhurst Memorial HospitalElmhurst, IL$8,191
Saint Francis Medical CenterPeoria, IL$8,242

Highest

Saint Francis Medical CenterPeoria, IL$8,242
Elmhurst Memorial HospitalElmhurst, IL$8,191
Memorial Medical CenterSpringfield, IL$7,493
Edward HospitalNaperville, IL$6,354

Traumatic stupor and coma <1 hour without complications in other states

Questions

How much does traumatic stupor and coma <1 hour without complications cost in Illinois?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour without complications (DRG 087) at 4 hospitals in Illinois was billed at $31,867 on average, while the average total payment was $7,568, of which Medicare paid $5,370. 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.