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Healthcare Pricing Data: PEORIA, IL

3 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

3

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

6.5x

Across all procedures

vs National Average

-4%

Chargemaster rates

About This Data

PEORIA, IL has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.5x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in PEORIA is CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC (DRG 233), with an average chargemaster rate of $368,417 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$117,55736.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$97,86737.3x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$71,31035.5x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$60,69435.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$56,13537.6x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$53,61537.0x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$53,53737.6x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$52,22135.3x
HEART FAILURE AND SHOCK WITH MCC291$52,15836.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$46,24736.2x
RENAL FAILURE WITH MCC682$45,48935.0x
GASTROINTESTINAL HEMORRHAGE WITH CC378$45,45937.8x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$40,28837.0x
RENAL FAILURE WITH CC683$32,40336.4x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$32,19537.2x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$32,07037.3x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$29,51937.8x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC233$368,41726.3x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$238,12226.6x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$228,48025.6x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$196,33025.7x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$192,92826.3x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$185,26025.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$172,80527.2x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$169,21527.6x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$162,98525.4x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$159,18526.5x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$157,85825.1x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$143,86226.3x
OTHER VASCULAR PROCEDURES WITH CC253$142,42127.8x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error