Advocate Sherman Hospital
ADVOCATE SHERMAN HOSPITAL in Elgin, IL charges 6.2x the Medicare reimbursement rate across 81 analyzed procedures, reflecting the pricing patterns at this nonprofit-private healthcare facility.
Elgin, IL 60123 · Acute Care Hospitals · CMS Rating: 5/5
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
D
High
Avg markup vs Medicare
6.16x
Charge / Medicare rate
Max markup
9.5x
Worst procedure
Procedures analyzed
81
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 |
|---|---|---|---|---|---|
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $40,333 | $20,166 | — | 9.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $28,188 | $14,094 | — | 9.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $41,337 | $20,668 | — | 9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $47,297 | $23,649 | — | 8.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $52,563 | $26,282 | — | 8.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $50,950 | $25,475 | — | 8.6x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $39,760 | $19,880 | — | 8.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,342 | $17,171 | — | 8x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $41,382 | $20,691 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $34,693 | $17,347 | — | 7.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $52,746 | $26,373 | — | 7.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,990 | $17,495 | — | 7.5x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $34,755 | $17,377 | — | 7.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $51,809 | $25,904 | — | 7.4x |
| DIABETES WITH CC | 638 | $35,693 | $17,846 | — | 7.3x |
| DYSEQUILIBRIUM | 149 | $34,588 | $17,294 | — | 7.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $97,539 | $48,769 | — | 7.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $47,597 | $23,799 | — | 7.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $45,701 | $22,850 | — | 7.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $49,388 | $24,694 | — | 7.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $88,167 | $44,083 | — | 7.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $40,961 | $20,480 | — | 7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $91,757 | $45,878 | — | 6.9x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $33,314 | $16,657 | — | 6.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $183,424 | $91,712 | — | 6.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $210,151 | $105,076 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $33,775 | $16,888 | — | 6.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $34,584 | $17,292 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $54,668 | $27,334 | — | 6.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $36,643 | $18,322 | — | 6.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $49,892 | $24,946 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $65,234 | $32,617 | — | 6.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $73,331 | $36,665 | — | 6.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $91,254 | $45,627 | — | 6.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $79,543 | $39,771 | — | 6.1x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $57,740 | $28,870 | — | 6.1x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $70,134 | $35,067 | — | 6.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $51,949 | $25,974 | — | 6.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $64,662 | $32,331 | — | 6x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $39,394 | $19,697 | — | 6x |
| RENAL FAILURE WITH MCC | 682 | $56,469 | $28,234 | — | 6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $164,484 | $82,242 | — | 5.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $85,591 | $42,795 | — | 5.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $55,313 | $27,657 | — | 5.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,608 | $18,804 | — | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $81,203 | $40,601 | — | 5.8x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $51,083 | $25,541 | — | 5.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $74,741 | $37,370 | — | 5.7x |
| RENAL FAILURE WITH CC | 683 | $30,666 | $15,333 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $72,057 | $36,029 | — | 5.6x |
Showing 50 of 81 procedures
How ADVOCATE SHERMAN HOSPITAL 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