St Alexius Medical Center
ST ALEXIUS MEDICAL CENTER in Hoffman Estates, IL charges 6.0x the Medicare reimbursement rate across 73 analyzed procedures at this nonprofit-religious hospital.
Hoffman Estates, IL 60169 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
D
High
Avg markup vs Medicare
6.02x
Charge / Medicare rate
Max markup
9.63x
Worst procedure
Procedures analyzed
73
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 |
|---|---|---|---|---|---|
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $123,809 | $61,904 | — | 9.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $58,336 | $29,168 | — | 8.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $51,548 | $25,774 | — | 8.3x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $108,048 | $54,024 | — | 8.1x |
| SYNCOPE AND COLLAPSE | 312 | $44,367 | $22,183 | — | 7.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,709 | $18,354 | — | 7.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,519 | $27,759 | — | 7.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $36,130 | $18,065 | — | 7.5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $49,609 | $24,805 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $45,937 | $22,968 | — | 7.4x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $87,680 | $43,840 | — | 7.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $66,513 | $33,257 | — | 7.3x |
| HYPERTENSION WITHOUT MCC | 305 | $35,660 | $17,830 | — | 7.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $103,842 | $51,921 | — | 7.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $70,149 | $35,075 | — | 7.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $70,152 | $35,076 | — | 7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $32,844 | $16,422 | — | 6.9x |
| DIABETES WITH CC | 638 | $35,866 | $17,933 | — | 6.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $36,729 | $18,365 | — | 6.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $167,457 | $83,729 | — | 6.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $106,662 | $53,331 | — | 6.6x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $64,976 | $32,488 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $56,455 | $28,228 | — | 6.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $42,989 | $21,494 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $33,882 | $16,941 | — | 6.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $73,063 | $36,532 | — | 6.4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $129,322 | $64,661 | — | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $83,277 | $41,639 | — | 6.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $98,152 | $49,076 | — | 6.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $32,677 | $16,339 | — | 6.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $41,614 | $20,807 | — | 6.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $70,743 | $35,372 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $53,337 | $26,669 | — | 6x |
| ENDOCRINE DISORDERS WITH CC | 644 | $39,100 | $19,550 | — | 6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $38,644 | $19,322 | — | 6x |
| CELLULITIS WITHOUT MCC | 603 | $32,722 | $16,361 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $125,565 | $62,783 | — | 5.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $74,021 | $37,011 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $82,195 | $41,097 | — | 5.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $124,854 | $62,427 | — | 5.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $46,350 | $23,175 | — | 5.8x |
| RENAL FAILURE WITH MCC | 682 | $60,450 | $30,225 | — | 5.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $43,022 | $21,511 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $48,819 | $24,409 | — | 5.7x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $143,123 | $71,561 | — | 5.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $225,323 | $112,661 | — | 5.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $34,264 | $17,132 | — | 5.6x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $32,992 | $16,496 | — | 5.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $58,254 | $29,127 | — | 5.6x |
| CELLULITIS WITH MCC | 602 | $51,788 | $25,894 | — | 5.5x |
Showing 50 of 73 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.
FAQ — nonprofit-religious hospital billing
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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