Edward Hospital
Edward Hospital in Naperville, Illinois charges 7.3x the Medicare reimbursement rate across 154 analyzed procedures, representing a significant markup for this nonprofit-private healthcare facility.
Naperville, IL 60540 · Acute Care Hospitals · CMS Rating: 4/5
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
D
High
Avg markup vs Medicare
7.26x
Charge / Medicare rate
Max markup
12.88x
Worst procedure
Procedures analyzed
154
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 |
|---|---|---|---|---|---|
| HEADACHES WITHOUT MCC | 103 | $34,110 | $17,055 | — | 12.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $35,687 | $17,844 | — | 12x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $61,826 | $30,913 | — | 11.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $110,388 | $55,194 | — | 11.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $132,983 | $66,492 | — | 11.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $25,685 | $12,843 | — | 11.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $63,258 | $31,629 | — | 10.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 395 | $34,121 | $17,060 | — | 10.4x |
| CHEST PAIN | 313 | $30,785 | $15,393 | — | 9.8x |
| COAGULATION DISORDERS | 813 | $78,033 | $39,016 | — | 9.8x |
| OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | 580 | $87,775 | $43,887 | — | 9.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $41,464 | $20,732 | — | 9.7x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $276,848 | $138,424 | — | 9.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $64,315 | $32,157 | — | 9.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $37,521 | $18,760 | — | 9.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $108,004 | $54,002 | — | 9.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $48,098 | $24,049 | — | 9.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $39,946 | $19,973 | — | 9.3x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $85,035 | $42,517 | — | 9.3x |
| HYPERTENSION WITHOUT MCC | 305 | $35,677 | $17,838 | — | 9.3x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $111,703 | $55,851 | — | 9.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $172,955 | $86,477 | — | 9x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $46,289 | $23,144 | — | 8.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $27,922 | $13,961 | — | 8.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $24,008 | $12,004 | — | 8.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $59,601 | $29,800 | — | 8.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $47,342 | $23,671 | — | 8.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $109,714 | $54,857 | — | 8.8x |
| SEIZURES WITH MCC | 100 | $98,261 | $49,131 | — | 8.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $189,395 | $94,698 | — | 8.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $39,641 | $19,821 | — | 8.6x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $102,235 | $51,117 | — | 8.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,967 | $14,483 | — | 8.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $133,109 | $66,554 | — | 8.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $50,156 | $25,078 | — | 8.2x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $283,544 | $141,772 | — | 8.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $73,948 | $36,974 | — | 8.1x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $111,247 | $55,623 | — | 8.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $116,856 | $58,428 | — | 8.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $34,431 | $17,215 | — | 8.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $76,276 | $38,138 | — | 8x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $116,187 | $58,093 | — | 8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $31,548 | $15,774 | — | 7.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $66,541 | $33,271 | — | 7.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $76,480 | $38,240 | — | 7.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $34,271 | $17,135 | — | 7.8x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $42,064 | $21,032 | — | 7.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $36,867 | $18,434 | — | 7.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $92,914 | $46,457 | — | 7.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $44,580 | $22,290 | — | 7.7x |
Showing 50 of 154 procedures
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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