Illinois / Advocate Good Shepherd Hospital

CMS certification 140291 · Barrington, IL · 1 entry in CMS's price-transparency list

Advocate Good Shepherd Hospital: charges and Medicare payments

Advocate Good Shepherd Hospital reported 3,003 Medicare inpatient stays across 89 DRGs in 2024. Across them it charged 3.93 times what it was paid — mid-range in Illinois, number 58 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: 378 stays at an average charge of $53,602, 41% below the national average. It also billed 4,890 outpatient services, charging 5.58 times what Medicare paid.

1Medicare inpatient stays 3,003
2Charge ÷ paid, inpatient 3.93×
3Rank in IL (highest ratio = 1) 58 of 106
4CMS price-transparency actions 1

Average charge per stay at Advocate Good Shepherd Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 89 DRGs that can be compared with the national average, Advocate Good Shepherd Hospital charged more than the national average in 0 (0%). 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	378	$53,602	-41%	$14,097
291 Heart Failure and Shock with MCC	210	$36,488	-35%	$9,157
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	114	$26,470	-34%	$6,601
193 Simple Pneumonia and Pleurisy with MCC	105	$44,035	-26%	$9,801
177 Respiratory Infections and Inflammations with MCC	97	$49,069	-30%	$11,745
690 Kidney and Urinary Tract Infections without MCC	96	$23,236	-39%	$5,832
189 Pulmonary Edema and Respiratory Failure	82	$39,974	-31%	$9,419
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	75	$33,967	-31%	$7,662
378 Gastrointestinal Hemorrhage with CC	66	$37,277	-23%	$8,105
552 Medical Back Problems without MCC	64	$27,094	-45%	$7,399
683 Renal Failure with CC	58	$31,421	-23%	$7,514
603 Cellulitis without MCC	55	$22,846	-39%	$6,072
267 Endovascular Cardiac Valve Replacement and Supplement...	54	$173,221	-22%	$41,018
689 Kidney and Urinary Tract Infections with MCC	50	$32,134	-37%	$7,935
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	49	$38,423	-37%	$11,286
309 Cardiac Arrhythmia and Conduction Disorders with CC	43	$26,905	-26%	$6,269
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$21,943	-41%	$5,224
698 Other Kidney and Urinary Tract Diagnoses with MCC	43	$37,179	-49%	$12,770
853 Infectious and Parasitic Diseases with O.R. Procedures with...	41	$139,015	-39%	$34,412
377 Gastrointestinal Hemorrhage with MCC	40	$47,984	-44%	$12,340
682 Renal Failure with MCC	40	$41,945	-36%	$9,963
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	36	$45,150	-19%	$8,127
312 Syncope and Collapse	36	$26,148	-43%	$6,478
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$32,663	-46%	$8,996
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$23,039	-51%	$7,915
280 Acute Myocardial Infarction, Discharged Alive with MCC	30	$40,807	-46%	$10,119
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	27	$60,076	-40%	$13,135
236 Coronary Bypass without Cardiac Catheterization without MCC	27	$126,249	-40%	$31,194
322 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$75,453	-34%	$12,777
481 Hip and Femur Procedures except Major Joint with CC	25	$61,085	-39%	$14,749
190 Chronic Obstructive Pulmonary Disease with MCC	23	$47,468	-6%	$7,604
194 Simple Pneumonia and Pleurisy with CC	23	$22,930	-40%	$5,686
287 Circulatory Disorders except AMI, with Cardiac...	23	$38,688	-39%	$7,706
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$35,164	-38%	$11,727
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	23	$19,431	-32%	$4,726
314 Other Circulatory System Diagnoses with MCC	23	$49,302	-48%	$14,176
389 Gastrointestinal Obstruction with CC	23	$26,256	-33%	$5,434
321 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$98,058	-40%	$20,096
330 Major Small and Large Bowel Procedures with CC	22	$63,840	-46%	$16,027
394 Other Digestive System Diagnoses with CC	22	$31,778	-32%	$16,903
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	21	$25,541	-40%	$6,056
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	21	$25,803	-30%	$7,141
470 Major Hip and Knee Joint Replacement or Reattachment of...	20	$62,213	-33%	$13,197
536 Fractures of Hip and Pelvis without MCC	19	$26,169	-31%	$6,037
602 Cellulitis with MCC	19	$47,704	-21%	$10,037
393 Other Digestive System Diagnoses with MCC	18	$52,596	-32%	$16,141
516 Other Musculoskeletal System and Connective Tissue O.R....	18	$70,351	-31%	$14,150
178 Respiratory Infections and Inflammations with CC	17	$34,133	-25%	$6,939
202 Bronchitis and Asthma with CC/MCC	17	$33,304	-28%	$11,279
305 Hypertension without MCC	17	$25,312	-37%	$5,352
329 Major Small and Large Bowel Procedures with MCC	17	$93,216	-57%	$31,293
454 Combined Anterior and Posterior Spinal Fusion with CC	17	$75,820	-73%	$45,974
551 Medical Back Problems with MCC	17	$39,735	-50%	$10,596
669 Transurethral Procedures with CC	17	$32,003	-59%	$10,848
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	16	$38,965	-40%	$13,428
445 Disorders of The Biliary Tract with CC	16	$41,197	-29%	$8,564
637 Diabetes with MCC	16	$42,068	-37%	$9,038
286 Circulatory Disorders except AMI, with Cardiac...	15	$70,216	-37%	$17,494
300 Peripheral Vascular Disorders with CC	15	$41,671	-16%	$8,418
812 Red Blood Cell Disorders without MCC	15	$32,154	-28%	$6,379

Showing the 60 most frequent of 89 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	955	$14,521	$2,537
Level 1 Intraocular Procedures	866	$9,427	$2,179
Level 5 Musculoskeletal Procedures	319	$43,112	$12,301
Level 1 Endovascular Procedures	268	$19,046	$3,055
Level 2 Excision/ Biopsy/ Incision and Drainage	266	$11,486	$1,525
Level 4 Urology and Related Services	191	$13,289	$3,290
Level 1 Laparoscopy and Related Services	146	$20,937	$5,356
Level 4 Musculoskeletal Procedures	141	$24,492	$6,713
Level 5 Urology and Related Services	134	$19,041	$4,883
Level 3 Urology and Related Services	121	$12,537	$1,914
Level 3 Endovascular Procedures	118	$54,778	$10,372
Level 3 Vascular Procedures	117	$11,708	$2,948
Level 3 Electrophysiologic Procedures	105	$141,360	$21,581
Level 2 Upper GI Procedures	94	$9,834	$1,780
Level 4 Endovascular Procedures	91	$83,957	$16,513
Level 3 Musculoskeletal Procedures	88	$12,999	$2,950
Level 1 Nerve Procedures	76	$11,276	$1,803
Level 2 Musculoskeletal Procedures	69	$8,465	$1,495
Level 3 Excision/ Biopsy/ Incision and Drainage	65	$17,181	$2,681
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	61	$15,695	$3,265
Level 2 Intraocular Procedures	61	$12,525	$3,837
Level 6 Musculoskeletal Procedures	48	$60,161	$17,548
Level 3 Pacemaker and Similar Procedures	47	$41,354	$10,062
Level 2 Breast/Lymphatic Surgery and Related Procedures	44	$27,227	$6,154
Level 1 Breast/Lymphatic Surgery and Related Procedures	41	$16,958	$3,597

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Advocate Good Shepherd Hospital charged $53,602 on average, 28% less than the Illinois average of $73,987, and was paid $14,097 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Advocate Good Shepherd Hospital charged $36,488 on average, 21% less than the Illinois average of $46,293, and was paid $9,157 against a state average of $11,813. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Advocate Good Shepherd Hospital charged $26,470 on average, 19% less than the Illinois average of $32,877, and was paid $6,601 against a state average of $7,851. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Advocate Good Shepherd Hospital charged $44,035 on average, 10% less than the Illinois average of $49,081, and was paid $9,801 against a state average of $11,857. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,521 was 32% below the state average of $21,498. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,427 was 37% below the state average of $14,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,112 was 36% below the state average of $67,146. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,046 was 24% below the state average of $25,004.

Price-transparency record

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

Met Requirements — 2025-06-24 (CMS case 5325)

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.