Alton Memorial Hospital
Alton Memorial Hospital in Alton, IL charges 5.3x the Medicare reimbursement rate on average across 42 analyzed procedures, reflecting typical pricing patterns for nonprofit-private healthcare facilities.
Alton, IL 62002 · 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
D
High
Avg markup vs Medicare
5.28x
Charge / Medicare rate
Max markup
9.12x
Worst procedure
Procedures analyzed
42
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $35,628 | $17,814 | — | 9.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $33,753 | $16,876 | — | 7.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $88,224 | $44,112 | — | 7.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $48,735 | $24,368 | — | 7.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,613 | $27,806 | — | 7.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $31,000 | $15,500 | — | 7.2x |
| RENAL FAILURE WITH CC | 683 | $35,748 | $17,874 | — | 7.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,117 | $15,059 | — | 6.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,577 | $16,288 | — | 6.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $29,287 | $14,644 | — | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,285 | $18,143 | — | 6.3x |
| SYNCOPE AND COLLAPSE | 312 | $30,132 | $15,066 | — | 6.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,524 | $13,262 | — | 5.9x |
| DIABETES WITH CC | 638 | $31,991 | $15,996 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,879 | $13,439 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $37,198 | $18,599 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $26,948 | $13,474 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,780 | $15,890 | — | 5.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $216,609 | $108,304 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,421 | $21,211 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,701 | $18,851 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $61,173 | $30,587 | — | 5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,116 | $19,558 | — | 4.8x |
| CELLULITIS WITH MCC | 602 | $40,102 | $20,051 | — | 4.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,228 | $11,614 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $29,538 | $14,769 | — | 4.7x |
| DIABETES WITH MCC | 637 | $40,444 | $20,222 | — | 4.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $54,243 | $27,122 | — | 4.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $149,073 | $74,537 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $52,867 | $26,434 | — | 4.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $43,892 | $21,946 | — | 4.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $35,410 | $17,705 | — | 4.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $45,426 | $22,713 | — | 3.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $26,563 | $13,281 | — | 3.8x |
| RENAL FAILURE WITH MCC | 682 | $35,443 | $17,721 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $39,197 | $19,598 | — | 3.6x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $16,141 | $8,070 | — | 3.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $29,899 | $14,949 | — | 3.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $26,232 | $13,116 | — | 3.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $31,044 | $15,522 | — | 3.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $20,928 | $10,464 | — | 3.2x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $29,667 | $14,834 | — | 2.9x |
How ALTON MEMORIAL 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