Illinois / Advocate Condell Medical Center

CMS certification 140202 · Libertyville, IL · 1 entry in CMS's price-transparency list

Advocate Condell Medical Center: charges and Medicare payments

Advocate Condell Medical Center reported 4,416 Medicare inpatient stays across 123 DRGs in 2024. Across them it charged 5.17 times what it was paid — among the higher ratios in Illinois, number 16 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 562 stays at an average charge of $81,149, 10% below the national average. It also billed 3,628 outpatient services, charging 8.14 times what Medicare paid.

1Medicare inpatient stays 4,416
2Charge ÷ paid, inpatient 5.17×
3Rank in IL (highest ratio = 1) 16 of 106
4CMS price-transparency actions 1

Average charge per stay at Advocate Condell Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 123 DRGs that can be compared with the national average, Advocate Condell Medical Center charged more than the national average in 25 (20%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	562	$81,149	-10%	$15,571
291 Heart Failure and Shock with MCC	301	$52,263	-7%	$10,140
193 Simple Pneumonia and Pleurisy with MCC	135	$63,715	+7%	$11,875
683 Renal Failure with CC	122	$42,019	+3%	$7,066
690 Kidney and Urinary Tract Infections without MCC	114	$34,451	-9%	$6,526
682 Renal Failure with MCC	110	$67,824	+3%	$11,344
177 Respiratory Infections and Inflammations with MCC	105	$63,034	-11%	$12,006
689 Kidney and Urinary Tract Infections with MCC	105	$40,765	-21%	$8,736
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	97	$45,833	-7%	$9,245
274 Percutaneous and Other Intracardiac Procedures without MCC	91	$140,313	-10%	$24,560
698 Other Kidney and Urinary Tract Diagnoses with MCC	87	$68,947	-6%	$13,118
189 Pulmonary Edema and Respiratory Failure	72	$59,835	+4%	$11,131
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	70	$34,966	-13%	$7,310
552 Medical Back Problems without MCC	69	$44,342	-9%	$8,788
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	65	$51,157	-15%	$10,104
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	65	$34,891	-6%	$6,051
280 Acute Myocardial Infarction, Discharged Alive with MCC	58	$69,460	-8%	$13,102
853 Infectious and Parasitic Diseases with O.R. Procedures with...	56	$177,307	-23%	$37,388
378 Gastrointestinal Hemorrhage with CC	53	$46,400	-4%	$7,516
312 Syncope and Collapse	50	$41,224	-9%	$6,744
481 Hip and Femur Procedures except Major Joint with CC	50	$90,096	-11%	$17,106
377 Gastrointestinal Hemorrhage with MCC	48	$68,322	-20%	$12,901
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	47	$54,389	-2%	$7,604
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	44	$83,347	-17%	$14,515
603 Cellulitis without MCC	44	$32,619	-13%	$8,642
309 Cardiac Arrhythmia and Conduction Disorders with CC	43	$40,266	+11%	$5,948
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	41	$92,020	-10%	$15,350
190 Chronic Obstructive Pulmonary Disease with MCC	40	$54,173	+7%	$9,392
194 Simple Pneumonia and Pleurisy with CC	37	$43,406	+13%	$8,096
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$54,399	-11%	$9,687
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$38,699	-18%	$7,464
638 Diabetes with CC	31	$42,362	+2%	$10,433
812 Red Blood Cell Disorders without MCC	31	$52,579	+18%	$7,041
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	31	$196,917	-9%	$54,085
314 Other Circulatory System Diagnoses with MCC	29	$60,713	-36%	$16,550
389 Gastrointestinal Obstruction with CC	29	$45,494	+17%	$11,364
322 Percutaneous Cardiovascular Procedures with Intraluminal...	28	$101,746	-11%	$17,308
321 Percutaneous Cardiovascular Procedures with Intraluminal...	27	$141,890	-13%	$25,737
286 Circulatory Disorders except AMI, with Cardiac...	26	$97,874	-13%	$16,341
637 Diabetes with MCC	26	$70,318	+6%	$12,090
330 Major Small and Large Bowel Procedures with CC	25	$113,376	-5%	$17,387
281 Acute Myocardial Infarction, Discharged Alive with CC	24	$45,425	-10%	$8,673
393 Other Digestive System Diagnoses with MCC	24	$76,337	-1%	$12,480
083 Traumatic Stupor and Coma >1 Hour with CC	23	$57,627	-21%	$10,298
287 Circulatory Disorders except AMI, with Cardiac...	23	$61,522	-4%	$9,898
480 Hip and Femur Procedures except Major Joint with MCC	23	$116,682	-16%	$22,382
208 Respiratory System Diagnosis with Ventilator Support <=96...	22	$98,539	-27%	$19,233
243 Permanent Cardiac Pacemaker Implant with CC	22	$85,803	-23%	$16,633
308 Cardiac Arrhythmia and Conduction Disorders with MCC	22	$49,087	-13%	$9,108
066 Intracranial Hemorrhage or Cerebral Infarction without...	21	$42,202	0%	$7,936
082 Traumatic Stupor and Coma >1 Hour with MCC	21	$76,199	-34%	$16,413
329 Major Small and Large Bowel Procedures with MCC	21	$170,042	-21%	$37,323
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	21	$58,548	-13%	$12,096
870 Septicemia or Severe Sepsis with MV >96 Hours	21	$252,445	-22%	$54,570
178 Respiratory Infections and Inflammations with CC	20	$48,068	+6%	$7,062
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	20	$102,813	-14%	$17,525
536 Fractures of Hip and Pelvis without MCC	20	$32,648	-13%	$6,202
602 Cellulitis with MCC	20	$62,870	+5%	$10,933
644 Endocrine Disorders with CC	20	$55,365	+15%	$9,555
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	19	$32,143	+12%	$8,393

Showing the 60 most frequent of 123 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	724	$18,885	$2,190
Comprehensive Observation Services	670	$21,575	$2,556
Level 5 Musculoskeletal Procedures	269	$70,592	$12,160
Level 1 Endovascular Procedures	172	$27,772	$3,080
Level 4 Musculoskeletal Procedures	160	$38,458	$6,684
Level 2 Intraocular Procedures	137	$32,013	$3,815
Level 3 Vascular Procedures	132	$20,369	$2,985
Level 3 Electrophysiologic Procedures	116	$179,398	$22,181
Level 5 Urology and Related Services	108	$29,909	$4,847
Level 2 Excision/ Biopsy/ Incision and Drainage	102	$15,191	$1,514
Level 4 Urology and Related Services	84	$24,761	$3,260
Level 3 Endovascular Procedures	78	$68,297	$10,372
Level 2 Upper GI Procedures	78	$10,494	$1,777
Level 1 Laparoscopy and Related Services	68	$36,024	$5,314
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	67	$22,459	$3,226
Level 2 Endovascular Procedures	65	$25,613	$5,394
Level 1 Nerve Procedures	53	$9,790	$1,788
Level 3 Musculoskeletal Procedures	50	$24,434	$3,055
Level 3 Pacemaker and Similar Procedures	49	$54,109	$10,069
Level 6 Musculoskeletal Procedures	46	$86,332	$17,202
Level 3 Excision/ Biopsy/ Incision and Drainage	44	$22,312	$2,438
Level 3 Urology and Related Services	39	$13,932	$1,922
Level 4 Endovascular Procedures	33	$106,240	$16,062
Level 5 Airway Endoscopy	29	$49,726	$6,459
Level 4 Airway Endoscopy	28	$27,212	$3,534

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Advocate Condell Medical Center charged $81,149 on average, 10% more than the Illinois average of $73,987, and was paid $15,571 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Advocate Condell Medical Center charged $52,263 on average, 13% more than the Illinois average of $46,293, and was paid $10,140 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Advocate Condell Medical Center charged $63,715 on average, 30% more than the Illinois average of $49,081, and was paid $11,875 against a state average of $11,857. For Renal Failure with CC (DRG 683), Advocate Condell Medical Center charged $42,019 on average, 22% more than the Illinois average of $34,485, and was paid $7,066 against a state average of $8,535. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $18,885 was 27% above the state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,575 was 0% below the state average of $21,498. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $70,592 was 5% above the state average of $67,146. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $27,772 was 11% above the state average of $25,004.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Advocate Condell Medical Center in Libertyville, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-06-25 (CMS case 5342)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.