Hospital · CCN 140010

Northshore University Healthsystem Evanston Hosp

2650 Ridge Ave, Evanston, IL 60201 · Cook County
Part of NorthShore � Edward-Elmhurst Health · 674 beds · 1
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

231 admission types 65 outpatient services
Billed per dollar paid, all admissions
3.81×
$770.6M billed against $202.0M paid across 12,535 Medicare discharges; the national figure is 5.03×.
—
of adults in Cook County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
9.7%
uninsured in the county · state 7.7%
$81K
median household income
3.9×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (48 in the inpatient or outpatient file)ⓘ
31.0%
obesity in the countyⓘ
11.8%
diagnosed diabetes (PLACES)
5.3%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
950
$64,673
$17,141
3.8× st 4.2×
291
Heart failure and shock with mcc
428
$39,208
$11,684
3.4× st 3.9×
177
Respiratory infections and inflammations with mcc
419
$45,833
$14,433
3.2× st 4.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
366
$67,089
$16,169
4.1× st 4.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
231
$26,023
$7,370
3.5× st 4.3×
481
Hip and femur procedures except major joint with cc
224
$66,274
$18,177
3.6× st 5.0×
690
Kidney and urinary tract infections without mcc
220
$26,520
$7,546
3.5× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
192
$57,696
$14,389
4.0× st 4.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
190
$28,323
$7,363
3.8× st 4.2×
378
Gastrointestinal hemorrhage with cc
184
$32,757
$8,941
3.7× st 4.5×
603
Cellulitis without mcc
178
$25,162
$8,052
3.1× st 3.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
177
$35,842
$9,840
3.6× st 4.2×
683
Renal failure with cc
177
$28,553
$8,375
3.4× st 4.1×
193
Simple pneumonia and pleurisy with mcc
176
$43,491
$11,822
3.7× st 4.2×
689
Kidney and urinary tract infections with mcc
173
$30,951
$10,354
3.0× st 4.0×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
173
$229,879
$39,919
5.8× st 4.9×
178
Respiratory infections and inflammations with cc
169
$27,865
$8,840
3.2× st 4.4×
189
Pulmonary edema and respiratory failure
166
$45,974
$11,360
4.0× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
155
$36,431
$11,904
3.1× st 3.8×
194
Simple pneumonia and pleurisy with cc
149
$28,151
$7,744
3.6× st 4.3×
698
Other kidney and urinary tract diagnoses with mcc
140
$52,727
$14,309
3.7× st 3.9×
682
Renal failure with mcc
140
$42,351
$12,877
3.3× st 4.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
126
$48,287
$10,841
4.5× st 5.0×
552
Medical back problems without mcc
105
$31,923
$8,991
3.6× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
104
$182,654
$47,961
3.8× st 4.0×
308
Cardiac arrhythmia and conduction disorders with mcc
101
$46,683
$11,503
4.1× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
100
$29,862
$7,193
4.2× st 4.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
95
$85,285
$19,414
4.4× st 4.5×
377
Gastrointestinal hemorrhage with mcc
94
$59,915
$19,229
3.1× st 4.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
94
$104,724
$17,107
6.1× st 5.7×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
93
$33,893
$9,676
3.5× st 4.4×
312
Syncope and collapse
92
$28,667
$8,197
3.5× st 4.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
90
$64,312
$17,137
3.8× st 4.3×
699
Other kidney and urinary tract diagnoses with cc
86
$29,635
$9,255
3.2× st 3.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
85
$143,727
$27,423
5.2× st 5.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
84
$69,374
$18,209
3.8× st 4.9×
057
Degenerative nervous system disorders without mcc
79
$30,066
$11,703
2.6× st 3.4×
274
Percutaneous and other intracardiac procedures without mcc
78
$117,410
$26,837
4.4× st 4.8×
389
Gastrointestinal obstruction with cc
74
$27,979
$7,764
3.6× st 4.1×
394
Other digestive system diagnoses with cc
74
$28,869
$8,738
3.3× st 4.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
72
$34,797
$11,693
3.0× st 4.0×
330
Major small and large bowel procedures with cc
72
$86,494
$23,124
3.7× st 4.6×
314
Other circulatory system diagnoses with mcc
67
$67,204
$18,874
3.6× st 4.1×
638
Diabetes with cc
67
$33,107
$9,517
3.5× st 4.0×
460
Spinal fusion except cervical without mcc
67
$118,565
$30,883
3.8× st 4.0×
165
Major chest procedures without cc/mcc
66
$73,860
$17,746
4.2× st 5.0×
092
Other disorders of nervous system with cc
64
$34,280
$9,816
3.5× st 3.8×
813
Coagulation disorders
64
$44,501
$14,623
3.0× st 4.2×
812
Red blood cell disorders without mcc
63
$32,134
$9,099
3.5× st 4.1×
329
Major small and large bowel procedures with mcc
61
$141,809
$38,493
3.7× st 4.3×
025
Craniotomy and endovascular intracranial procedures with mcc
61
$147,144
$35,981
4.1× st 4.5×
281
Acute myocardial infarction, discharged alive with cc
59
$38,038
$8,375
4.5× st 5.1×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
59
$58,176
$10,744
5.4× st 5.3×
480
Hip and femur procedures except major joint with mcc
59
$92,474
$25,650
3.6× st 5.0×
393
Other digestive system diagnoses with mcc
58
$48,787
$15,265
3.2× st 3.9×
390
Gastrointestinal obstruction without cc/mcc
56
$21,998
$5,602
3.9× st 4.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
54
$167,743
$41,970
4.0× st 4.1×
454
Combined anterior and posterior spinal fusion with cc
54
$163,140
$49,911
3.3× st 3.6×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
53
$58,688
$17,544
3.3× st 4.4×
300
Peripheral vascular disorders with cc
53
$35,596
$9,680
3.7× st 3.8×
306
Cardiac congenital and valvular disorders with mcc
53
$50,679
$14,592
3.5× st 3.8×
372
Major gastrointestinal disorders and peritoneal infections with cc
52
$35,610
$9,477
3.8× st 4.1×
637
Diabetes with mcc
52
$53,763
$12,951
4.2× st 4.3×
644
Endocrine disorders with cc
51
$30,870
$10,564
2.9× st 3.6×
643
Endocrine disorders with mcc
50
$45,178
$14,214
3.2× st 3.6×
455
Combined anterior and posterior spinal fusion without cc/mcc
49
$115,956
$38,629
3.0× st 4.1×
180
Respiratory neoplasms with mcc
48
$54,900
$15,883
3.5× st 4.3×
270
Other major cardiovascular procedures with mcc
48
$206,825
$47,398
4.4× st 4.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
48
$47,291
$12,745
3.7× st 4.6×
253
Other vascular procedures with cc
47
$96,717
$22,188
4.4× st 4.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
47
$29,180
$8,260
3.5× st 4.2×
811
Red blood cell disorders with mcc
47
$43,874
$12,433
3.5× st 4.3×
176
Pulmonary embolism without mcc
46
$35,839
$7,876
4.6× st 4.7×
467
Revision of hip or knee replacement with cc
46
$90,453
$29,298
3.1× st 4.3×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
45
$55,646
$16,120
3.5× st 3.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
45
$69,500
$21,761
3.2× st 4.7×
202
Bronchitis and asthma with cc/mcc
45
$37,845
$8,883
4.3× st 4.0×
331
Major small and large bowel procedures without cc/mcc
44
$58,361
$14,842
3.9× st 4.5×
101
Seizures without mcc
44
$29,527
$8,472
3.5× st 4.3×
660
Kidney and ureter procedures for non-neoplasm with cc
44
$54,835
$13,780
4.0× st 4.7×
164
Major chest procedures with cc
44
$96,213
$25,341
3.8× st 4.7×
305
Hypertension without mcc
43
$31,898
$6,937
4.6× st 4.7×
149
Dysequilibrium
42
$27,137
$6,845
4.0× st 4.9×
374
Digestive malignancy with mcc
41
$63,119
$16,856
3.7× st 4.0×
252
Other vascular procedures with mcc
39
$130,966
$30,108
4.4× st 4.4×
884
Organic disturbances and intellectual disability
39
$33,863
$14,223
2.4× st 3.0×
468
Revision of hip or knee replacement without cc/mcc
37
$78,838
$22,209
3.6× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
37
$34,597
$9,433
3.7× st 4.3×
074
Cranial and peripheral nerve disorders without mcc
37
$34,051
$9,654
3.5× st 4.1×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
37
$37,358
$7,065
5.3× st 5.5×
482
Hip and femur procedures except major joint without cc/mcc
37
$49,590
$14,033
3.5× st 4.4×
388
Gastrointestinal obstruction with mcc
36
$43,269
$12,440
3.5× st 3.7×
091
Other disorders of nervous system with mcc
36
$55,074
$16,843
3.3× st 4.2×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
36
$290,803
$60,124
4.8× st 5.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
36
$72,590
$15,546
4.7× st 5.3×
375
Digestive malignancy with cc
35
$33,610
$10,329
3.3× st 4.5×
445
Disorders of the biliary tract with cc
35
$42,577
$9,866
4.3× st 4.9×
483
Major joint or limb reattachment procedures of upper extremities
35
$116,988
$21,476
5.4× st 5.4×
544
Pathological fractures and musculoskeletal and connective tissue malignancy without cc/m
35
$24,712
$7,144
3.5× st 3.8×
713
Transurethral prostatectomy with cc/mcc
35
$50,645
$13,149
3.9× st 4.3×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
34
$41,799
$9,328
4.5× st 4.6×
292
Heart failure and shock with cc
33
$29,419
$7,963
3.7× st 4.5×
948
Signs and symptoms without mcc
33
$26,914
$7,439
3.6× st 4.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
33
$26,727
$5,315
5.0× st 4.8×
602
Cellulitis with mcc
33
$48,533
$13,177
3.7× st 3.9×
056
Degenerative nervous system disorders with mcc
33
$39,052
$18,758
2.1× st 3.3×
191
Chronic obstructive pulmonary disease with cc
32
$26,164
$8,910
2.9× st 4.5×
551
Medical back problems with mcc
32
$52,322
$14,384
3.6× st 4.2×
100
Seizures with mcc
32
$69,607
$18,239
3.8× st 4.2×
435
Malignancy of hepatobiliary system or pancreas with mcc
31
$54,939
$15,592
3.5× st 4.5×
205
Other respiratory system diagnoses with mcc
31
$49,769
$15,421
3.2× st 3.9×
243
Permanent cardiac pacemaker implant with cc
31
$78,363
$19,404
4.0× st 4.7×
315
Other circulatory system diagnoses with cc
31
$33,077
$8,695
3.8× st 4.2×
554
Bone diseases and arthropathies without mcc
30
$27,677
$7,987
3.5× st 4.0×
862
Postoperative and post-traumatic infections with mcc
30
$66,588
$18,331
3.6× st 3.5×
195
Simple pneumonia and pleurisy without cc/mcc
30
$22,312
$5,837
3.8× st 3.8×
919
Complications of treatment with mcc
29
$49,433
$16,012
3.1× st 3.9×
269
Aortic and heart assist procedures except pulsation balloon without mcc
29
$179,826
$36,276
5.0× st 5.3×
229
Other cardiothoracic procedures without mcc
29
$125,055
$27,659
4.5× st 5.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
29
$75,578
$19,901
3.8× st 4.5×
521
Hip replacement with principal diagnosis of hip fracture with mcc
29
$101,234
$25,114
4.0× st 5.1×
082
Traumatic stupor and coma >1 hour with mcc
28
$73,142
$19,964
3.7× st 4.0×
536
Fractures of hip and pelvis without mcc
28
$30,892
$7,299
4.2× st 4.4×
179
Respiratory infections and inflammations without cc/mcc
28
$27,152
$7,077
3.8× st 4.7×
271
Other major cardiovascular procedures with cc
27
$119,071
$30,095
4.0× st 4.2×
444
Disorders of the biliary tract with mcc
27
$54,252
$17,195
3.2× st 4.6×
840
Lymphoma and non-acute leukemia with mcc
26
$74,263
$25,353
2.9× st 3.6×
299
Peripheral vascular disorders with mcc
26
$40,102
$13,920
2.9× st 4.0×
371
Major gastrointestinal disorders and peritoneal infections with mcc
26
$51,111
$15,122
3.4× st 3.7×
472
Cervical spinal fusion with cc
26
$99,022
$24,589
4.0× st 4.2×
545
Connective tissue disorders with mcc
26
$68,376
$21,565
3.2× st 3.1×
920
Complications of treatment with cc
25
$36,563
$9,421
3.9× st 3.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
25
$80,954
$23,310
3.5× st 4.4×
645
Endocrine disorders without cc/mcc
24
$24,009
$8,758
2.7× st 2.8×
519
Back and neck procedures except spinal fusion with cc
24
$71,237
$22,480
3.2× st 3.9×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
24
$30,896
$7,756
4.0× st 3.6×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
23
$51,745
$13,103
3.9× st 4.0×
242
Permanent cardiac pacemaker implant with mcc
23
$92,634
$29,394
3.2× st 4.4×
069
Transient ischemia without thrombolytic
23
$35,046
$7,352
4.8× st 5.9×
907
Other o.r. procedures for injuries with mcc
23
$168,719
$36,355
4.6× st 4.1×
200
Pneumothorax with cc
22
$32,957
$9,878
3.3× st 4.8×
184
Major chest trauma with cc
22
$34,919
$9,702
3.6× st 4.5×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
22
$30,688
$8,458
3.6× st 4.1×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
22
$55,980
$15,727
3.6× st 3.9×
083
Traumatic stupor and coma >1 hour with cc
21
$39,236
$11,752
3.3× st 4.3×
163
Major chest procedures with mcc
21
$130,655
$38,479
3.4× st 3.6×
282
Acute myocardial infarction, discharged alive without cc/mcc
21
$37,420
$8,110
4.6× st 4.4×
273
Percutaneous and other intracardiac procedures with mcc
21
$146,831
$33,243
4.4× st 4.4×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
21
$26,624
$7,995
3.3× st 3.6×
870
Septicemia or severe sepsis with mv >96 hours
20
$239,278
$60,081
4.0× st 4.0×
863
Postoperative and post-traumatic infections without mcc
20
$28,926
$8,799
3.3× st 3.4×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
20
$57,420
$16,287
3.5× st 3.5×
181
Respiratory neoplasms with cc
20
$34,129
$10,947
3.1× st 3.0×
283
Acute myocardial infarction, expired with mcc
19
$59,998
$21,246
2.8× st 4.3×
438
Disorders of pancreas except malignancy with mcc
19
$64,309
$15,312
4.2× st 3.4×
657
Kidney and ureter procedures for neoplasm with cc
19
$78,248
$16,074
4.9× st 5.0×
402
Single level combined anterior and posterior spinal fusion except cervical
19
$130,889
$35,746
3.7× st 4.8×
199
Pneumothorax with mcc
19
$56,773
$15,911
3.6× st 3.3×
355
Hernia procedures except inguinal and femoral without cc/mcc
19
$59,095
$11,701
5.1× st 5.5×
153
Otitis media and uri without mcc
19
$25,512
$6,862
3.7× st 3.7×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
19
$176,467
$51,648
3.4× st 5.0×
327
Stomach, esophageal and duodenal procedures with cc
19
$84,909
$21,782
3.9× st 4.9×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
18
$176,486
$59,714
3.0× st 3.7×
432
Cirrhosis and alcoholic hepatitis with mcc
18
$51,138
$16,733
3.1× st 3.5×
659
Kidney and ureter procedures for non-neoplasm with mcc
18
$102,349
$33,437
3.1× st 4.8×
439
Disorders of pancreas except malignancy with cc
18
$38,591
$10,241
3.8× st 4.5×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
18
$103,428
$27,228
3.8× st 4.1×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
18
$55,007
$18,357
3.0× st 4.1×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
18
$100,767
$27,118
3.7× st 3.4×
304
Hypertension with mcc
18
$38,645
$10,534
3.7× st 4.3×
908
Other o.r. procedures for injuries with cc
17
$71,776
$18,518
3.9× st 4.3×
607
Minor skin disorders without mcc
17
$24,499
$8,679
2.8× st 3.4×
694
Urinary stones without mcc
17
$24,716
$7,121
3.5× st 3.1×
206
Other respiratory system diagnoses without mcc
17
$29,154
$8,654
3.4× st 4.1×
313
Chest pain
17
$29,717
$6,670
4.5× st 4.8×
054
Nervous system neoplasms with mcc
17
$49,965
$12,228
4.1× st 4.4×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
17
$64,740
$14,744
4.4× st 4.6×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
17
$102,525
$21,521
4.8× st 5.2×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
17
$38,533
$13,001
3.0× st 3.6×
379
Gastrointestinal hemorrhage without cc/mcc
17
$24,188
$5,971
4.1× st 5.2×
515
Other musculoskeletal system and connective tissue o.r. procedures with mcc
16
$97,665
$26,533
3.7× st 4.4×
086
Traumatic stupor and coma <1 hour with cc
16
$31,096
$11,328
2.7× st 4.2×
356
Other digestive system o.r. procedures with mcc
16
$136,532
$36,530
3.7× st 5.1×
354
Hernia procedures except inguinal and femoral with cc
16
$67,469
$18,606
3.6× st 4.7×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
16
$148,228
$25,727
5.8× st 6.0×
236
Coronary bypass without cardiac catheterization without mcc
16
$145,822
$31,120
4.7× st 4.8×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
16
$26,098
$11,739
2.2× st 3.3×
674
Other kidney and urinary tract procedures with cc
15
$69,031
$20,729
3.3× st 2.7×
520
Back and neck procedures except spinal fusion without cc/mcc
15
$58,851
$12,420
4.7× st 4.0×
917
Poisoning and toxic effects of drugs with mcc
15
$65,417
$16,106
4.1× st 4.1×
085
Traumatic stupor and coma <1 hour with mcc
15
$79,972
$19,385
4.1× st 4.1×
303
Atherosclerosis without mcc
14
$32,499
$6,225
5.2× st 4.8×
027
Craniotomy and endovascular intracranial procedures without cc/mcc
14
$93,829
$20,520
4.6× st 5.9×
319
Other endovascular cardiac valve procedures with mcc
14
$121,366
$36,762
3.3× st 3.3×
558
Tendonitis, myositis and bursitis without mcc
14
$33,880
$10,224
3.3× st 3.3×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
14
$293,583
$66,626
4.4× st 4.3×
546
Connective tissue disorders with cc
14
$38,343
$10,759
3.6× st 4.1×
436
Malignancy of hepatobiliary system or pancreas with cc
14
$39,075
$9,715
4.0× st 4.2×
864
Fever and inflammatory conditions
14
$27,005
$8,159
3.3× st 3.3×
155
Other ear, nose, mouth and throat diagnoses with cc
14
$27,796
$8,804
3.2× st 3.2×
486
Knee procedures with principal diagnosis of infection with cc
14
$70,103
$17,771
3.9× st 3.9×
395
Other digestive system diagnoses without cc/mcc
14
$18,669
$7,363
2.5× st 2.8×
215
Other heart assist system implant
13
$333,901
$80,470
4.1× st 4.0×
228
Other cardiothoracic procedures with mcc
13
$155,489
$43,331
3.6× st 4.2×
093
Other disorders of nervous system without cc/mcc
13
$26,518
$7,424
3.6× st 5.0×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
13
$439,741
$94,271
4.7× st 4.0×
918
Poisoning and toxic effects of drugs without mcc
13
$33,637
$8,614
3.9× st 4.3×
684
Renal failure without cc/mcc
13
$22,013
$5,816
3.8× st 4.7×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
13
$630,661
$175,813
3.6× st 3.9×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
13
$58,287
$19,793
2.9× st 4.3×
565
Other musculoskeletal system and connective tissue diagnoses with cc
13
$30,625
$9,281
3.3× st 4.4×
726
Benign prostatic hypertrophy without mcc
13
$23,001
$6,925
3.3× st 3.3×
326
Stomach, esophageal and duodenal procedures with mcc
13
$143,215
$41,337
3.5× st 3.9×
560
Aftercare, musculoskeletal system and connective tissue with cc
13
$38,124
$9,390
4.1× st 4.1×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
13
$62,613
$15,444
4.1× st 3.8×
197
Interstitial lung disease with cc
12
$33,155
$8,544
3.9× st 3.9×
988
Non-extensive o.r. procedures unrelated to principal diagnosis with cc
12
$62,299
$14,649
4.3× st 4.3×
026
Craniotomy and endovascular intracranial procedures with cc
12
$109,129
$24,555
4.4× st 4.3×
502
Soft tissue procedures without cc/mcc
12
$47,203
$11,852
4.0× st 4.0×
896
Alcohol, drug abuse or dependence without rehabilitation therapy with mcc
12
$62,290
$21,328
2.9× st 3.7×
427
Multiple level combined anterior and posterior spinal fusion except cervical with cc
12
$180,432
$62,503
2.9× st 2.8×
183
Major chest trauma with mcc
12
$47,007
$13,849
3.4× st 5.6×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
11
$103,802
$28,969
3.6× st 5.2×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
11
$111,763
$36,058
3.1× st 4.1×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
11
$55,177
$14,077
3.9× st 3.5×
673
Other kidney and urinary tract procedures with mcc
11
$93,703
$32,721
2.9× st 3.3×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
11
$57,444
$23,676
2.4× st 3.7×
535
Fractures of hip and pelvis with mcc
11
$40,767
$11,502
3.5× st 3.8×
448
Multiple level spinal fusion except cervical without mcc
11
$150,884
$36,256
4.2× st 4.2×
187
Pleural effusion with cc
11
$32,094
$8,709
3.7× st 5.3×
264
Other circulatory system o.r. procedures
11
$94,308
$26,367
3.6× st 3.9×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5491
Level 1 Intraocular Procedures
2,412
$16,316
$2,162
7.5×
5372
Level 2 Urology and Related Services
1,908
$1,420
$634
2.2×
8011
Comprehensive Observation Services
1,713
$18,551
$2,530
7.3×
5115
Level 5 Musculoskeletal Procedures
1,343
$57,916
$12,119
4.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
946
$8,116
$1,501
5.4×
5373
Level 3 Urology and Related Services
926
$6,325
$1,896
3.3×
5361
Level 1 Laparoscopy and Related Services
493
$32,578
$5,339
6.1×
5183
Level 3 Vascular Procedures
482
$14,841
$2,957
5.0×
5114
Level 4 Musculoskeletal Procedures
477
$33,367
$6,605
5.1×
5374
Level 4 Urology and Related Services
466
$18,754
$3,249
5.8×
5302
Level 2 Upper GI Procedures
455
$11,471
$1,771
6.5×
5213
Level 3 Electrophysiologic Procedures
440
$107,018
$21,979
4.9×
5191
Level 1 Endovascular Procedures
383
$27,613
$3,025
9.1×
5375
Level 5 Urology and Related Services
283
$28,390
$4,815
5.9×
5431
Level 1 Nerve Procedures
276
$7,852
$1,791
4.4×
5193
Level 3 Endovascular Procedures
250
$69,176
$10,232
6.8×
5492
Level 2 Intraocular Procedures
249
$24,065
$3,733
6.4×
5362
Level 2 Laparoscopy and Related Services
241
$59,762
$9,551
6.3×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
231
$14,568
$1,923
7.6×
5192
Level 2 Endovascular Procedures
207
$29,565
$5,328
5.5×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
206
$14,824
$3,231
4.6×
5113
Level 3 Musculoskeletal Procedures
189
$19,605
$2,997
6.5×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
186
$16,763
$3,548
4.7×
5182
Level 2 Vascular Procedures
182
$7,040
$1,485
4.7×
5116
Level 6 Musculoskeletal Procedures
180
$84,588
$17,289
4.9×
5223
Level 3 Pacemaker and Similar Procedures
180
$52,750
$9,956
5.3×
5112
Level 2 Musculoskeletal Procedures
177
$12,186
$1,482
8.2×
5414
Level 4 Gynecologic Procedures
177
$13,900
$2,838
4.9×
5194
Level 4 Endovascular Procedures
168
$71,183
$12,419
5.7×
5462
Level 2 Neurostimulator and Related Procedures
137
$29,555
$6,389
4.6×
5376
Level 6 Urology and Related Services
124
$47,922
$8,688
5.5×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
114
$32,129
$6,053
5.3×
5153
Level 3 Airway Endoscopy
108
$6,337
$1,523
4.2×
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
104
$15,095
$2,178
6.9×
5184
Level 4 Vascular Procedures
93
$33,235
$4,804
6.9×
5222
Level 2 Pacemaker and Similar Procedures
84
$27,010
$7,879
3.4×
5165
Level 5 ENT Procedures
83
$38,536
$5,496
7.0×
5313
Level 3 Lower GI Procedures
83
$14,421
$2,619
5.5×
5232
Level 2 ICD and Similar Procedures
75
$175,256
$30,593
5.7×
5331
Complex GI Procedures
69
$33,866
$5,310
6.4×
5154
Level 4 Airway Endoscopy
67
$27,869
$3,485
8.0×
5303
Level 3 Upper GI Procedures
64
$20,731
$3,581
5.8×
5155
Level 5 Airway Endoscopy
64
$40,374
$6,313
6.4×
5465
Level 5 Neurostimulator and Related Procedures
59
$122,197
$28,566
4.3×
5415
Level 5 Gynecologic Procedures
50
$24,018
$4,666
5.1×
5416
Level 6 Gynecologic Procedures
43
$35,390
$7,082
5.0×
5224
Level 4 Pacemaker and Similar Procedures
39
$98,776
$18,151
5.4×
5464
Level 4 Neurostimulator and Related Procedures
39
$90,083
$19,935
4.5×
5627
Level 7 Radiation Therapy
26
$52,208
$7,240
7.2×
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
25
$45,234
$8,787
5.1×
5094
Level 4 Breast/Lymphatic Surgery and Related Procedures
25
$64,826
$16,359
4.0×
5493
Level 3 Intraocular Procedures
20
$29,461
$4,859
6.1×
5164
Level 4 ENT Procedures
19
$18,593
$3,012
6.2×
5166
Cochlear Implant Procedure
18
$132,821
$29,499
4.5×
5461
Level 1 Neurostimulator and Related Procedures
16
$28,477
$3,105
9.2×
5200
Implantation Wireless PA Pressure Monitor
16
$136,298
$27,071
5.0×
5212
Level 2 Electrophysiologic Procedures
12
$47,735
$6,952
6.9×
5471
Implantation of Drug Infusion Device
—
—
—
—
5378
Level 8 Urology and Related Services
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5377
Level 7 Urology and Related Services
—
—
—
—
5463
Level 3 Neurostimulator and Related Procedures
—
—
—
—
5504
Level 4 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—

Sources for this hospital

the files read, as fetched — not our copy of them
  1. MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.