Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc in Illinois
MS-DRG 489: Knee procedures without principal diagnosis of infection without cc/mcc
$43,090typical hospital bill
$12,136typical amount paid
$9,032–$15,240range paid across 2 hospitals
Illinois hospitals billed Medicare a typical $43,090 for this stay in 2024, about 3.6 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 | |
|---|---|---|---|---|---|
| Sarah Bush Lincoln Health Center | Mattoon | 16 | $49,716 | $9,032 | |
| Rush University Medical Center | Chicago | 21 | $36,463 | $15,240 |
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.