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Inpatient stay · MS-DRG 187

Pleural effusion with CC

In 2024, Medicare and patients paid an average of $10,572 per stay at 16 hospitals. Half of hospitals averaged between $7,879 and $11,207.

National figures, 2024

Average payment per case
$10,572
Typical range (middle half of hospitals)
$7,879–$11,207
Medicare’s share
$8,11477% of the payment
Average billed charge
$60,338
Hospitals reporting
16217 stays

Hospitals in Illinois

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Illinois
Specific hospitals up to 10
Average payment across these 2 hospitals
$8,475National $10,572 · Illinois $8,475
Too few hospitals to compare
An average across fewer than 3 hospitals says little about the area. Widen the distance or pick more hospitals.
Medicare stays
22

2 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Pleural effusion with CC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Northwestern Medicine Central Dupage HospitalWinfield, IL · CCN 14024211$8,24022% below the national average$7,499$57,421
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 14001011$8,70918% below the national average$7,199$32,094

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 410 stays at 29 hospitals · 2021: 390 stays at 29 hospitals · 2022: 301 stays at 23 hospitals · 2023: 370 stays at 24 hospitals · 2024: 217 stays at 16 hospitals
View data as a table
National average payment and billed charge for Pleural effusion with CC
Year of careAverage paymentAverage billed charge
2020$9,311$48K
2021$9,978$54K
2022$9,279$45K
2023$10K$50K
2024$11K$60K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 10 states
Average payment by state for Pleural effusion with CC, 2024
StateHospitalsCasesAverage paymentTypical range
Missouri111$7,120$7,120–$7,120
Pennsylvania225$7,565$7,329–$7,709
Nebraska111$7,816$7,816–$7,816
Florida236$8,141$8,010–$8,405
Illinois222$8,475$8,357–$8,592
New Jersey117$8,531$8,531–$8,531
Louisiana111$8,850$8,850–$8,850
Delaware111$9,449$9,449–$9,449
Massachusetts111$13,480$13,480–$13,480
New York462$15,590$12,442–$15,462

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.