Elmhurst Memorial Hospital
ELMHURST MEMORIAL HOSPITAL in Elmhurst, IL charges 7.7x the Medicare reimbursement rate across 121 analyzed procedures, reflecting the pricing structure at this for-profit healthcare facility.
Elmhurst, IL 60126 · 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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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
D
High
Avg markup vs Medicare
7.65x
Charge / Medicare rate
Max markup
14.14x
Worst procedure
Procedures analyzed
121
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 |
|---|---|---|---|---|---|
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $35,265 | $17,632 | — | 14.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,940 | $13,470 | — | 13.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $53,130 | $26,565 | — | 11.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $44,907 | $22,453 | — | 11.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $42,462 | $21,231 | — | 11.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $120,753 | $60,377 | — | 11.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $186,842 | $93,421 | — | 10.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $54,922 | $27,461 | — | 10.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $81,040 | $40,520 | — | 10.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 192 | $30,355 | $15,177 | — | 10.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $39,458 | $19,729 | — | 10x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $77,329 | $38,664 | — | 9.9x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $252,068 | $126,034 | — | 9.8x |
| SYNCOPE AND COLLAPSE | 312 | $47,586 | $23,793 | — | 9.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $52,551 | $26,276 | — | 9.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $189,548 | $94,774 | — | 9.7x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $42,313 | $21,157 | — | 9.5x |
| HYPERTENSION WITHOUT MCC | 305 | $32,090 | $16,045 | — | 9.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $55,571 | $27,785 | — | 9.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $36,300 | $18,150 | — | 9.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $38,444 | $19,222 | — | 9.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $89,950 | $44,975 | — | 9.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $40,446 | $20,223 | — | 9.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $74,419 | $37,210 | — | 9.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $125,248 | $62,624 | — | 8.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $252,461 | $126,230 | — | 8.6x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $87,198 | $43,599 | — | 8.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $50,862 | $25,431 | — | 8.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $48,569 | $24,284 | — | 8.4x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $137,590 | $68,795 | — | 8.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $84,638 | $42,319 | — | 8.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $34,445 | $17,222 | — | 8.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $138,994 | $69,497 | — | 8.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $46,419 | $23,209 | — | 8.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $43,486 | $21,743 | — | 8.2x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $59,437 | $29,718 | — | 8.2x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $36,719 | $18,360 | — | 8.1x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $122,806 | $61,403 | — | 8.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $38,246 | $19,123 | — | 7.9x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $72,612 | $36,306 | — | 7.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $33,069 | $16,534 | — | 7.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $77,273 | $38,636 | — | 7.9x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $45,809 | $22,904 | — | 7.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $151,098 | $75,549 | — | 7.8x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $116,154 | $58,077 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $33,213 | $16,607 | — | 7.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $35,768 | $17,884 | — | 7.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $41,493 | $20,747 | — | 7.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $87,092 | $43,546 | — | 7.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $38,703 | $19,351 | — | 7.6x |
Showing 50 of 121 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