Advocate Illinois Masonic Medical Center
Advocate Illinois Masonic Medical Center in Chicago charges 4.5x the Medicare reimbursement rate across 51 analyzed procedures at this nonprofit hospital.
Chicago, IL 60657 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
4.51x
Charge / Medicare rate
Max markup
6.24x
Worst procedure
Procedures analyzed
51
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $93,285 | $46,643 | — | 6.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $79,628 | $39,814 | — | 6.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $73,438 | $36,719 | — | 6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $100,117 | $50,058 | — | 5.9x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $237,830 | $118,915 | — | 5.6x |
| CHEST PAIN | 313 | $39,316 | $19,658 | — | 5.6x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $70,775 | $35,388 | — | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $37,702 | $18,851 | — | 5.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $72,032 | $36,016 | — | 5.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $57,392 | $28,696 | — | 5.4x |
| SYNCOPE AND COLLAPSE | 312 | $42,237 | $21,119 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $108,916 | $54,458 | — | 5.1x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $101,499 | $50,749 | — | 5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $95,363 | $47,681 | — | 4.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $60,702 | $30,351 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $81,308 | $40,654 | — | 4.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $135,865 | $67,932 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $60,164 | $30,082 | — | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $44,916 | $22,458 | — | 4.8x |
| RENAL FAILURE WITH CC | 683 | $39,130 | $19,565 | — | 4.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $53,987 | $26,993 | — | 4.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $102,215 | $51,108 | — | 4.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $38,574 | $19,287 | — | 4.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $228,448 | $114,224 | — | 4.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,187 | $16,593 | — | 4.4x |
| DIABETES WITH CC | 638 | $30,102 | $15,051 | — | 4.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $228,376 | $114,188 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $40,583 | $20,291 | — | 4.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $67,605 | $33,803 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $39,626 | $19,813 | — | 4.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $40,258 | $20,129 | — | 4.3x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $142,879 | $71,440 | — | 4.3x |
| OTHER CARDIOTHORACIC PROCEDURES WITH MCC | 228 | $199,665 | $99,832 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $45,298 | $22,649 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $76,669 | $38,334 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $69,663 | $34,831 | — | 4x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $34,989 | $17,494 | — | 4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $45,144 | $22,572 | — | 3.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $44,212 | $22,106 | — | 3.9x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $40,805 | $20,403 | — | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $43,947 | $21,973 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $43,766 | $21,883 | — | 3.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,770 | $14,885 | — | 3.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $71,652 | $35,826 | — | 3.6x |
| SEIZURES WITH MCC | 100 | $68,282 | $34,141 | — | 3.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $50,385 | $25,192 | — | 3.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $34,622 | $17,311 | — | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $51,209 | $25,604 | — | 3.4x |
| CELLULITIS WITHOUT MCC | 603 | $28,173 | $14,086 | — | 3.4x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $47,999 | $23,999 | — | 3.4x |
Showing 50 of 51 procedures
How ADVOCATE ILLINOIS MASONIC MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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