Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Illinois
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$308,430typical hospital bill
$57,390typical amount paid
$41,965–$73,590range paid across 10 hospitals
Illinois hospitals billed Medicare a typical $308,430 for this stay in 2024, about 5.4 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 | |
|---|---|---|---|---|---|
| St Johns Hospital | Springfield | 17 | $265,462 | $41,965 | |
| Northwestern Medicine Central Dupage Hospital | Winfield | 23 | $359,276 | $46,564 | |
| Saint Francis Medical Center | Peoria | 11 | $367,495 | $47,036 | |
| Northshore University Healthsystem - Evanston Hospital | Evanston | 19 | $176,467 | $51,648 | |
| Edward Hospital | Naperville | 24 | $304,293 | $55,304 | |
| Loyola University Medical Center | Maywood | 25 | $171,136 | $59,476 | |
| Northwestern Memorial Hospital | Chicago | 18 | $378,664 | $64,753 | |
| The University of Chicago Medical Center | Chicago | 24 | $335,909 | $65,511 | |
| Advocate Lutheran General Hospital | Park Ridge | 17 | $228,669 | $69,552 | |
| Memorial Medical Center | Springfield | 13 | $312,568 | $73,590 |
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.