Northwestern Medicine Mchenry
Northwestern Medicine McHenry in McHenry, IL charges 6.2x the Medicare reimbursement rate across 157 analyzed procedures, representing a significant markup for this nonprofit-private hospital.
Mchenry, IL 60050 · Acute Care Hospitals · CMS Rating: 5/5
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
6.18x
Charge / Medicare rate
Max markup
12.03x
Worst procedure
Procedures analyzed
157
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $44,755 | $22,377 | — | 12x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $67,234 | $33,617 | — | 10.4x |
| DYSEQUILIBRIUM | 149 | $42,751 | $21,376 | — | 10.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $52,789 | $26,395 | — | 9.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $47,504 | $23,752 | — | 9.4x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $140,503 | $70,252 | — | 9.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $33,402 | $16,701 | — | 9.1x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $232,898 | $116,449 | — | 8.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $106,408 | $53,204 | — | 8.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $34,971 | $17,486 | — | 8.3x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $100,489 | $50,245 | — | 8.3x |
| HYPERTENSION WITHOUT MCC | 305 | $38,084 | $19,042 | — | 8.3x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $65,401 | $32,700 | — | 8.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,225 | $11,613 | — | 8.2x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/M | 544 | $34,753 | $17,376 | — | 8x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $46,883 | $23,442 | — | 7.9x |
| SEIZURES WITHOUT MCC | 101 | $44,725 | $22,362 | — | 7.9x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $44,471 | $22,236 | — | 7.9x |
| HYPERTENSION WITH MCC | 304 | $55,310 | $27,655 | — | 7.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,136 | $25,568 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $96,809 | $48,405 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $48,713 | $24,356 | — | 7.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $61,515 | $30,758 | — | 7.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $84,010 | $42,005 | — | 7.5x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $40,275 | $20,137 | — | 7.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $129,712 | $64,856 | — | 7.5x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $29,672 | $14,836 | — | 7.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $38,103 | $19,052 | — | 7.3x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $56,693 | $28,347 | — | 7.3x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $50,641 | $25,321 | — | 7.3x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $129,659 | $64,830 | — | 7.3x |
| SYNCOPE AND COLLAPSE | 312 | $40,552 | $20,276 | — | 7.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $34,269 | $17,134 | — | 7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $118,568 | $59,284 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,450 | $11,225 | — | 7x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $42,628 | $21,314 | — | 7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $44,387 | $22,194 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,678 | $16,839 | — | 6.9x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $112,348 | $56,174 | — | 6.9x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $48,790 | $24,395 | — | 6.9x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $70,590 | $35,295 | — | 6.9x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $40,671 | $20,336 | — | 6.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,865 | $17,432 | — | 6.8x |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | 880 | $39,715 | $19,858 | — | 6.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $70,016 | $35,008 | — | 6.8x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $391,350 | $195,675 | — | 6.8x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $32,907 | $16,454 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,146 | $15,073 | — | 6.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $32,605 | $16,302 | — | 6.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $123,374 | $61,687 | — | 6.7x |
Showing 50 of 157 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