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