Advocate Good Shepherd Hospital
Advocate Good Shepherd Hospital in Barrington, Illinois charges 4.9x the Medicare reimbursement rate across 87 analyzed procedures, reflecting pricing patterns typical of nonprofit private hospitals.
Barrington, IL 60010 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
4.92x
Charge / Medicare rate
Max markup
10.39x
Worst procedure
Procedures analyzed
87
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $24,112 | $12,056 | — | 10.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,630 | $9,815 | — | 8.8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $35,413 | $17,706 | — | 7.8x |
| DIABETES WITH CC | 638 | $32,525 | $16,262 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $80,272 | $40,136 | — | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,777 | $17,889 | — | 6.9x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $71,899 | $35,950 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,263 | $13,632 | — | 6.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $29,236 | $14,618 | — | 6.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $36,000 | $18,000 | — | 6.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $41,553 | $20,776 | — | 6.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $36,715 | $18,357 | — | 6.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $30,148 | $15,074 | — | 5.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,140 | $11,570 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $32,243 | $16,122 | — | 5.8x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $46,939 | $23,469 | — | 5.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $24,459 | $12,229 | — | 5.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $40,954 | $20,477 | — | 5.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $27,195 | $13,598 | — | 5.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,198 | $11,099 | — | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $21,068 | $10,534 | — | 5.5x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $29,125 | $14,562 | — | 5.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $33,543 | $16,771 | — | 5.4x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $21,584 | $10,792 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $26,062 | $13,031 | — | 5.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $68,880 | $34,440 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $39,402 | $19,701 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $29,249 | $14,625 | — | 5.3x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $67,196 | $33,598 | — | 5.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $28,743 | $14,371 | — | 5.2x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $50,134 | $25,067 | — | 5.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $50,951 | $25,476 | — | 5.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $42,400 | $21,200 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,102 | $10,051 | — | 5.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $59,314 | $29,657 | — | 5.1x |
| SYNCOPE AND COLLAPSE | 312 | $24,702 | $12,351 | — | 5.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $100,087 | $50,044 | — | 5x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $69,606 | $34,803 | — | 5x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $52,209 | $26,105 | — | 5x |
| CELLULITIS WITH MCC | 602 | $48,339 | $24,170 | — | 5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $152,443 | $76,222 | — | 4.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $43,101 | $21,551 | — | 4.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $23,040 | $11,520 | — | 4.8x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $112,530 | $56,265 | — | 4.7x |
| DIABETES WITH MCC | 637 | $33,365 | $16,683 | — | 4.7x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $30,585 | $15,292 | — | 4.7x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $161,850 | $80,925 | — | 4.7x |
| CELLULITIS WITHOUT MCC | 603 | $23,036 | $11,518 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $22,793 | $11,397 | — | 4.7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $182,177 | $91,088 | — | 4.6x |
Showing 50 of 87 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use