Carle Health Methodist Hospital
CARLE HEALTH METHODIST HOSPITAL in Peoria, IL charges 6.4x the Medicare reimbursement rate across 60 analyzed procedures, reflecting the pricing patterns typical of nonprofit-private hospital systems.
Peoria, IL 61636 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
D
High
Avg markup vs Medicare
6.38x
Charge / Medicare rate
Max markup
8.86x
Worst procedure
Procedures analyzed
60
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $106,302 | $53,151 | — | 8.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $41,555 | $20,778 | — | 8.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $48,302 | $24,151 | — | 8.5x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $86,374 | $43,187 | — | 8.4x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $185,273 | $92,637 | — | 8.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $50,984 | $25,492 | — | 8.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $35,877 | $17,939 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $35,238 | $17,619 | — | 7.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $137,614 | $68,807 | — | 7.7x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $65,777 | $32,888 | — | 7.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $57,788 | $28,894 | — | 7.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,459 | $21,730 | — | 7.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $41,216 | $20,608 | — | 7.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $35,540 | $17,770 | — | 7.1x |
| CHEST PAIN | 313 | $29,268 | $14,634 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $148,684 | $74,342 | — | 7x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $200,710 | $100,355 | — | 6.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $112,592 | $56,296 | — | 6.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,999 | $14,500 | — | 6.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $93,694 | $46,847 | — | 6.8x |
| HYPERTENSION WITHOUT MCC | 305 | $27,587 | $13,794 | — | 6.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $88,075 | $44,037 | — | 6.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $58,509 | $29,255 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $30,090 | $15,045 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $41,322 | $20,661 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $49,655 | $24,827 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $72,454 | $36,227 | — | 6.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $43,889 | $21,945 | — | 6.5x |
| SYNCOPE AND COLLAPSE | 312 | $33,191 | $16,595 | — | 6.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $103,910 | $51,955 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $49,657 | $24,828 | — | 6.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,425 | $16,712 | — | 6.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $31,330 | $15,665 | — | 6.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $252,266 | $126,133 | — | 6.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $186,947 | $93,474 | — | 6.3x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $217,672 | $108,836 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $49,798 | $24,899 | — | 6.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $180,640 | $90,320 | — | 6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $136,818 | $68,409 | — | 6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $101,089 | $50,544 | — | 5.9x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $302,031 | $151,015 | — | 5.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $84,385 | $42,192 | — | 5.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $65,681 | $32,841 | — | 5.8x |
| RENAL FAILURE WITH CC | 683 | $31,447 | $15,723 | — | 5.8x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $64,707 | $32,353 | — | 5.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $44,911 | $22,456 | — | 5.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $124,944 | $62,472 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $71,617 | $35,808 | — | 5.4x |
| DIABETES WITH CC | 638 | $29,088 | $14,544 | — | 5.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $105,946 | $52,973 | — | 5.2x |
Showing 50 of 60 procedures
How CARLE HEALTH METHODIST 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