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RUSH UNIVERSITY MEDICAL CENTER

CHICAGO, IL 60612 · Acute Care Hospitals

189 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

189

With CMS pricing data

Avg Charge-to-Medicare Ratio

3.1x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to IL hospitals

Understanding Your Costs

When you receive a bill from RUSH UNIVERSITY MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, RUSH UNIVERSITY MEDICAL CENTER lists chargemaster rates that average 3.1x the corresponding Medicare reimbursement amount across 189 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in IL has a chargemaster-to-Medicare ratio of 5.4x, with ratios across the state ranging from 0.3x to 11.7x. At 3.1x, this facility’s average ratio is below the state median. 112 hospitals in IL report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at RUSH UNIVERSITY MEDICAL CENTER is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $243,148, while Medicare reimburses $30,722 for the same procedure — a ratio of 7.9x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

RUSH UNIVERSITY MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 5/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
KIDNEY TRANSPLANT652$243,148$30,7227.9x
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KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$269,878$48,2765.6x
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MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC371$78,673$14,4395.5x
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DISORDERS OF THE BILIARY TRACT WITH MCC444$98,230$18,1925.4x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$106,982$22,6544.7x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$59,708$13,2164.5x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$65,320$14,8844.4x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC436$46,434$10,8354.3x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$98,815$23,5524.2x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$34,072$8,1334.2x
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AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC239$181,320$43,4444.2x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$39,349$9,4964.1x
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DIGESTIVE MALIGNANCY WITH CC375$50,899$12,3304.1x
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MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$92,572$22,5404.1x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$89,638$21,9794.1x
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DISORDERS OF THE BILIARY TRACT WITH CC445$45,892$11,2564.1x
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MAJOR HEAD AND NECK PROCEDURES WITH CC141$92,978$22,8444.1x
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WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D464$115,245$28,4114.1x
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MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO809$57,901$14,4784.0x
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LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC840$118,323$29,6704.0x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$48,624$12,3234.0x
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OTHER VASCULAR PROCEDURES WITH CC253$106,098$26,9833.9x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$96,589$24,5983.9x
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KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC657$62,192$15,9503.9x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$36,130$9,3153.9x
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RED BLOOD CELL DISORDERS WITH MCC811$57,643$14,9023.9x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$79,690$20,6833.9x
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HEADACHES WITHOUT MCC103$29,227$7,6773.8x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$131,094$34,7613.8x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$35,056$9,3313.8x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$41,348$11,1543.7x
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CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC024$131,955$35,6743.7x
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OTHER O.R. PROCEDURES FOR INJURIES WITH MCC907$152,173$41,0853.7x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$110,520$29,9583.7x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$20,006$5,4393.7x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$32,994$9,0833.6x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$65,598$18,1353.6x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$67,727$18,7833.6x
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O.R. PROCEDURES FOR OBESITY WITH CC620$56,307$15,6483.6x
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DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC441$64,233$17,8503.6x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$64,772$18,0493.6x
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MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO808$76,435$21,2673.6x
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COMPLICATIONS OF TREATMENT WITH CC920$36,945$10,3753.6x
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CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$34,236$9,6363.5x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC326$171,081$48,2143.5x
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COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC453$316,339$89,1433.5x
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ACUTE LEUKEMIA WITH MCC834$222,749$62,6743.5x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$35,162$9,9523.5x
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SIMPLE PNEUMONIA AND PLEURISY WITH CC194$29,023$8,2123.5x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$67,555$19,2143.5x
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Showing 50 of 189 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across IL hospitals

0.3x
Median: 5.4x
11.7x
3.1x

112 hospitals in IL report pricing data to CMS. This facility's average ratio of 3.1x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About RUSH UNIVERSITY MEDICAL CENTER

How much does RUSH UNIVERSITY MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, RUSH UNIVERSITY MEDICAL CENTER's listed chargemaster rates average 3.1x the Medicare reimbursement amount across 189 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at RUSH UNIVERSITY MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at RUSH UNIVERSITY MEDICAL CENTER is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $243,148 compared to Medicare reimbursement of $30,722 — a ratio of 7.9x. Source: CMS IPPS Provider Summary.

Is RUSH UNIVERSITY MEDICAL CENTER expensive compared to other IL hospitals?

RUSH UNIVERSITY MEDICAL CENTER's average chargemaster-to-Medicare ratio is 3.1x. Ratios vary significantly across IL hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for RUSH UNIVERSITY MEDICAL CENTER come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from RUSH UNIVERSITY MEDICAL CENTER is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does RUSH UNIVERSITY MEDICAL CENTER in CHICAGO, IL accept Medicare?

RUSH UNIVERSITY MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact RUSH UNIVERSITY MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.