Anderson Hospital
Anderson Hospital in Maryville, IL charges 6.1x the Medicare reimbursement rate across 36 analyzed procedures, reflecting the pricing structure at this nonprofit-private healthcare facility.
Maryville, IL 62062 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
6.1x
Charge / Medicare rate
Max markup
9.56x
Worst procedure
Procedures analyzed
36
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 WITH CC OR TPA IN 24 HOURS | 065 | $50,375 | $25,188 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $38,795 | $19,398 | — | 9.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,186 | $12,093 | — | 9.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,548 | $16,274 | — | 8.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,520 | $16,760 | — | 8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $38,648 | $19,324 | — | 7.9x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $37,662 | $18,831 | — | 7.8x |
| CELLULITIS WITHOUT MCC | 603 | $37,642 | $18,821 | — | 7.5x |
| RENAL FAILURE WITH CC | 683 | $37,371 | $18,686 | — | 7.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $37,651 | $18,826 | — | 7.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $31,573 | $15,786 | — | 7x |
| SYNCOPE AND COLLAPSE | 312 | $34,502 | $17,251 | — | 6.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $50,680 | $25,340 | — | 6.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $34,022 | $17,011 | — | 6.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,728 | $16,864 | — | 6.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,590 | $18,795 | — | 6.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $42,642 | $21,321 | — | 6.1x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $31,120 | $15,560 | — | 6.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $35,241 | $17,621 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $41,419 | $20,709 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,418 | $18,709 | — | 5.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $40,489 | $20,244 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,782 | $11,891 | — | 5.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $32,015 | $16,007 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $38,015 | $19,007 | — | 5.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $119,055 | $59,528 | — | 5.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $31,725 | $15,863 | — | 4.8x |
| RENAL FAILURE WITH MCC | 682 | $43,477 | $21,738 | — | 4.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $47,787 | $23,894 | — | 4.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $39,951 | $19,975 | — | 4.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $68,917 | $34,459 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $52,108 | $26,054 | — | 4.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $58,597 | $29,299 | — | 4.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $53,811 | $26,905 | — | 4.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $46,066 | $23,033 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $146,494 | $73,247 | — | 3.5x |
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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