Simple Pneumonia and Pleurisy Without Cc/Mcc in Illinois
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$22,312typical hospital bill
$5,837typical amount paid
$4,752–$9,763range paid across 5 hospitals
Illinois hospitals billed Medicare a typical $22,312 for this stay in 2024, about 3.8 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 | 12 | $20,774 | $4,752 | |
| Advocate Condell Medical Center | Libertyville | 12 | $28,327 | $5,052 | |
| Northshore University Healthsystem - Evanston Hospital | Evanston | 30 | $22,312 | $5,837 | |
| Northwest Community Hospital 1 | Arlington Heights | 13 | $20,740 | $7,997 | |
| Northwestern Medicine McHenry | McHenry | 11 | $35,444 | $9,763 |
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.