Northwestern Medicine Delnor Community Hospital
Northwestern Medicine Delnor Community Hospital in Geneva, IL charges 6.8x the Medicare reimbursement rate across 90 analyzed procedures, reflecting significant price variation in healthcare.
Geneva, IL 60134 · Acute Care Hospitals · CMS Rating: 5/5
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
6.77x
Charge / Medicare rate
Max markup
12.4x
Worst procedure
Procedures analyzed
90
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 | $31,424 | $15,712 | — | 12.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $39,712 | $19,856 | — | 10.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $41,074 | $20,537 | — | 10.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $46,214 | $23,107 | — | 10.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $54,789 | $27,394 | — | 10x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,323 | $25,662 | — | 9.5x |
| SEIZURES WITHOUT MCC | 101 | $50,817 | $25,408 | — | 9.4x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $42,556 | $21,278 | — | 9x |
| DYSEQUILIBRIUM | 149 | $34,091 | $17,045 | — | 8.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $52,409 | $26,205 | — | 8.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $50,668 | $25,334 | — | 8.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $106,211 | $53,105 | — | 8.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $111,849 | $55,924 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $20,914 | $10,457 | — | 8.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $41,109 | $20,555 | — | 8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $34,371 | $17,185 | — | 7.9x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $126,161 | $63,080 | — | 7.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $45,010 | $22,505 | — | 7.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,506 | $17,253 | — | 7.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $120,213 | $60,107 | — | 7.6x |
| SYNCOPE AND COLLAPSE | 312 | $40,935 | $20,468 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $46,685 | $23,343 | — | 7.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $112,915 | $56,457 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,555 | $17,277 | — | 7.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $108,437 | $54,219 | — | 7.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $94,799 | $47,399 | — | 7.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $50,000 | $25,000 | — | 7.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $45,279 | $22,640 | — | 7.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $39,347 | $19,674 | — | 7.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $37,958 | $18,979 | — | 7.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $95,594 | $47,797 | — | 7.2x |
| COAGULATION DISORDERS | 813 | $77,111 | $38,555 | — | 7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $102,620 | $51,310 | — | 7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $32,344 | $16,172 | — | 6.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $37,976 | $18,988 | — | 6.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,405 | $27,703 | — | 6.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $76,663 | $38,331 | — | 6.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $52,878 | $26,439 | — | 6.8x |
| RENAL FAILURE WITH CC | 683 | $36,326 | $18,163 | — | 6.8x |
| ENDOCRINE DISORDERS WITH CC | 644 | $44,004 | $22,002 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,934 | $14,467 | — | 6.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $65,617 | $32,809 | — | 6.7x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $73,724 | $36,862 | — | 6.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $92,216 | $46,108 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $55,039 | $27,520 | — | 6.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $104,862 | $52,431 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $28,598 | $14,299 | — | 6.5x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $86,612 | $43,306 | — | 6.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $91,848 | $45,924 | — | 6.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $39,338 | $19,669 | — | 6.4x |
Showing 50 of 90 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