Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in Illinois
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$429,716typical hospital bill
$114,702typical amount paid
$94,271–$118,719range paid across 4 hospitals
Illinois hospitals billed Medicare a typical $429,716 for this stay in 2024, about 3.7 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston | 13 | $439,741 | $94,271 | |
| Advocate Christ Hospital & Medical Center | Oak Lawn | 15 | $325,457 | $114,246 | |
| Northwestern Memorial Hospital | Chicago | 15 | $564,610 | $115,159 | |
| Loyola University Medical Center | Maywood | 11 | $419,692 | $118,719 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.