Uchicago Medicine Adventhealth La Grange
UCChicago Medicine AdventHealth La Grange charges 4.5x the Medicare reimbursement rate across 60 analyzed procedures, making it a moderate-markup nonprofit-religious hospital in La Grange, Illinois.
La Grange, IL 60525 · Acute Care Hospitals · CMS Rating: 5/5
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
C
Average
Avg markup vs Medicare
4.52x
Charge / Medicare rate
Max markup
7.5x
Worst procedure
Procedures analyzed
60
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $31,027 | $15,514 | — | 7.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $27,433 | $13,717 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,703 | $19,352 | — | 6.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $121,051 | $60,526 | — | 5.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $50,942 | $25,471 | — | 5.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $27,612 | $13,806 | — | 5.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,420 | $12,710 | — | 5.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $70,490 | $35,245 | — | 5.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,677 | $14,338 | — | 5.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $117,182 | $58,591 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,579 | $12,289 | — | 5.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $58,476 | $29,238 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $28,211 | $14,106 | — | 5.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $21,052 | $10,526 | — | 5.1x |
| SYNCOPE AND COLLAPSE | 312 | $26,998 | $13,499 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $37,039 | $18,520 | — | 4.9x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $73,782 | $36,891 | — | 4.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $54,658 | $27,329 | — | 4.9x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $61,848 | $30,924 | — | 4.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $26,400 | $13,200 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $29,858 | $14,929 | — | 4.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $30,547 | $15,273 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $67,413 | $33,706 | — | 4.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $26,405 | $13,203 | — | 4.8x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $90,053 | $45,026 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,718 | $14,859 | — | 4.8x |
| RENAL FAILURE WITH CC | 683 | $25,885 | $12,943 | — | 4.7x |
| DIABETES WITH CC | 638 | $24,599 | $12,300 | — | 4.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $34,670 | $17,335 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $35,766 | $17,883 | — | 4.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $36,984 | $18,492 | — | 4.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $33,306 | $16,653 | — | 4.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $62,974 | $31,487 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $43,032 | $21,516 | — | 4.3x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $20,757 | $10,379 | — | 4.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $45,590 | $22,795 | — | 4.2x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $17,067 | $8,533 | — | 4.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $29,913 | $14,957 | — | 4.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $40,392 | $20,196 | — | 4.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $35,692 | $17,846 | — | 4.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,165 | $17,083 | — | 4.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $51,559 | $25,779 | — | 4.1x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $95,520 | $47,760 | — | 4x |
| CELLULITIS WITHOUT MCC | 603 | $19,859 | $9,930 | — | 4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $132,841 | $66,420 | — | 3.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $77,235 | $38,618 | — | 3.9x |
| CELLULITIS WITH MCC | 602 | $34,675 | $17,337 | — | 3.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $76,225 | $38,113 | — | 3.9x |
| RENAL FAILURE WITH MCC | 682 | $37,492 | $18,746 | — | 3.8x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $38,861 | $19,431 | — | 3.7x |
Showing 50 of 60 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