Memorial Hospital of Carbondale
Memorial Hospital of Carbondale charges 5.5x the Medicare reimbursement rate across 53 analyzed procedures, making it a moderately priced nonprofit facility in Carbondale, Illinois.
Carbondale, IL 62901 · Acute Care Hospitals · CMS Rating: 2/5
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
5.47x
Charge / Medicare rate
Max markup
9.29x
Worst procedure
Procedures analyzed
53
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 INTRALUMINAL DEVICE WITHOUT MCC | 322 | $91,121 | $45,560 | — | 9.3x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $108,176 | $54,088 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $42,406 | $21,203 | — | 8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $40,787 | $20,393 | — | 7.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $188,749 | $94,374 | — | 7.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $99,653 | $49,827 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $98,858 | $49,429 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $82,262 | $41,131 | — | 7.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $157,541 | $78,771 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,188 | $9,594 | — | 7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $93,940 | $46,970 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $34,520 | $17,260 | — | 6.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,682 | $21,841 | — | 6.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $29,306 | $14,653 | — | 6.3x |
| SEIZURES WITHOUT MCC | 101 | $31,399 | $15,699 | — | 6.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,632 | $17,316 | — | 6.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,425 | $14,712 | — | 6x |
| CELLULITIS WITHOUT MCC | 603 | $30,141 | $15,070 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,514 | $12,757 | — | 6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $32,262 | $16,131 | — | 6x |
| DIABETES WITH CC | 638 | $27,794 | $13,897 | — | 5.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $46,732 | $23,366 | — | 5.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,312 | $13,156 | — | 5.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $175,104 | $87,552 | — | 5.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $27,555 | $13,777 | — | 5.3x |
| RENAL FAILURE WITH CC | 683 | $26,380 | $13,190 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,381 | $10,191 | — | 5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $36,782 | $18,391 | — | 4.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $22,146 | $11,073 | — | 4.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $46,432 | $23,216 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $48,707 | $24,354 | — | 4.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $91,033 | $45,517 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $37,127 | $18,563 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $54,921 | $27,460 | — | 4.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $57,962 | $28,981 | — | 4.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $25,075 | $12,538 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $145,212 | $72,606 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $47,762 | $23,881 | — | 4.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,791 | $17,895 | — | 4.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $28,041 | $14,020 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $194,406 | $97,203 | — | 4.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $35,031 | $17,516 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $48,431 | $24,216 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $25,321 | $12,661 | — | 4.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $38,649 | $19,325 | — | 4.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $137,635 | $68,817 | — | 4.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $89,000 | $44,500 | — | 4.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $47,801 | $23,901 | — | 4.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $27,261 | $13,630 | — | 3.9x |
| RENAL FAILURE WITH MCC | 682 | $31,203 | $15,602 | — | 3.7x |
Showing 50 of 53 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