Advocate Lutheran General Hospital: charges and Medicare payments

Advocate Lutheran General Hospital reported 6,442 Medicare inpatient stays across 155 DRGs in 2024. Across them it charged 3.88 times what it was paid — mid-range in Illinois, number 61 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: 819 stays at an average charge of $85,600, 5% below the national average. It also billed 4,909 outpatient services, charging 5.62 times what Medicare paid.

1Medicare inpatient stays 6,442
2Charge ÷ paid, inpatient 3.88×
3Rank in IL (highest ratio = 1) 61 of 106
4CMS price-transparency actions 0

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

Inpatient stays

For the 155 DRGs that can be compared with the national average, Advocate Lutheran General Hospital charged more than the national average in 20 (13%). 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	819	$85,600	-5%	$20,874
291 Heart Failure and Shock with MCC	392	$58,733	+4%	$13,063
280 Acute Myocardial Infarction, Discharged Alive with MCC	154	$70,010	-8%	$16,208
177 Respiratory Infections and Inflammations with MCC	142	$70,783	0%	$16,248
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	141	$54,022	+10%	$11,993
193 Simple Pneumonia and Pleurisy with MCC	135	$58,279	-2%	$13,179
689 Kidney and Urinary Tract Infections with MCC	128	$47,856	-7%	$11,219
267 Endovascular Cardiac Valve Replacement and Supplement...	113	$146,347	-34%	$44,876
690 Kidney and Urinary Tract Infections without MCC	112	$34,089	-10%	$8,550
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	107	$86,779	-13%	$19,795
189 Pulmonary Edema and Respiratory Failure	99	$58,062	+1%	$12,481
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	99	$37,103	-8%	$8,114
603 Cellulitis without MCC	95	$35,368	-5%	$9,698
312 Syncope and Collapse	93	$44,841	-2%	$10,010
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	91	$57,319	+3%	$11,801
378 Gastrointestinal Hemorrhage with CC	90	$41,018	-16%	$9,795
853 Infectious and Parasitic Diseases with O.R. Procedures with...	87	$180,022	-21%	$48,956
552 Medical Back Problems without MCC	80	$41,119	-16%	$9,312
698 Other Kidney and Urinary Tract Diagnoses with MCC	75	$75,155	+2%	$19,308
481 Hip and Femur Procedures except Major Joint with CC	70	$68,917	-32%	$23,881
870 Septicemia or Severe Sepsis with MV >96 Hours	67	$213,129	-34%	$59,787
682 Renal Failure with MCC	62	$63,979	-3%	$14,583
683 Renal Failure with CC	62	$38,036	-7%	$8,753
330 Major Small and Large Bowel Procedures with CC	60	$79,329	-33%	$23,738
377 Gastrointestinal Hemorrhage with MCC	60	$97,380	+14%	$22,508
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	57	$59,450	-1%	$14,644
023 Craniotomy with Major Device Implant or Acute Complex Cns...	56	$238,654	-15%	$65,530
274 Percutaneous and Other Intracardiac Procedures without MCC	54	$99,743	-36%	$30,604
389 Gastrointestinal Obstruction with CC	52	$37,704	-3%	$8,693
309 Cardiac Arrhythmia and Conduction Disorders with CC	48	$33,645	-7%	$8,383
101 Seizures without MCC	46	$44,290	-9%	$9,314
025 Craniotomy and Endovascular Intracranial Procedures with MCC	45	$205,177	-11%	$53,537
281 Acute Myocardial Infarction, Discharged Alive with CC	43	$47,148	-7%	$9,503
329 Major Small and Large Bowel Procedures with MCC	43	$139,173	-35%	$40,114
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$32,373	-13%	$8,109
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	43	$167,634	-22%	$45,997
057 Degenerative Nervous System Disorders without MCC	40	$40,007	-29%	$13,275
480 Hip and Femur Procedures except Major Joint with MCC	40	$100,920	-27%	$27,346
082 Traumatic Stupor and Coma >1 Hour with MCC	39	$113,480	-2%	$22,427
100 Seizures with MCC	39	$86,990	-8%	$19,484
470 Major Hip and Knee Joint Replacement or Reattachment of...	39	$58,356	-37%	$19,980
194 Simple Pneumonia and Pleurisy with CC	38	$36,233	-6%	$8,189
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	38	$77,666	-35%	$22,897
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$55,174	-10%	$15,353
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	35	$74,491	-27%	$18,991
092 Other Disorders of Nervous System with CC	34	$48,147	-7%	$11,152
314 Other Circulatory System Diagnoses with MCC	34	$86,908	-8%	$20,090
699 Other Kidney and Urinary Tract Diagnoses with CC	34	$45,229	-5%	$9,946
394 Other Digestive System Diagnoses with CC	33	$33,220	-29%	$10,824
638 Diabetes with CC	33	$41,790	0%	$8,925
190 Chronic Obstructive Pulmonary Disease with MCC	31	$43,102	-15%	$11,665
393 Other Digestive System Diagnoses with MCC	31	$68,712	-11%	$18,620
069 Transient Ischemia without Thrombolytic	30	$48,235	-4%	$8,046
321 Percutaneous Cardiovascular Procedures with Intraluminal...	30	$162,347	-1%	$32,048
811 Red Blood Cell Disorders with MCC	30	$75,321	+10%	$18,658
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	30	$33,190	-10%	$8,292
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	29	$66,410	+2%	$13,503
286 Circulatory Disorders except AMI, with Cardiac...	29	$85,987	-23%	$20,686
322 Percutaneous Cardiovascular Procedures with Intraluminal...	29	$104,236	-9%	$25,313
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	29	$39,658	-7%	$9,571

Showing the 60 most frequent of 155 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,095	$21,025	$2,564
Level 5 Musculoskeletal Procedures	407	$43,128	$12,354
Level 2 Excision/ Biopsy/ Incision and Drainage	316	$11,546	$1,482
Level 2 Upper GI Procedures	294	$10,586	$1,788
Level 3 Electrophysiologic Procedures	212	$107,029	$22,490
Level 3 Vascular Procedures	158	$13,463	$3,011
Level 1 Endovascular Procedures	156	$17,464	$3,084
Level 1 Laparoscopy and Related Services	136	$29,870	$5,318
Level 3 Urology and Related Services	129	$7,199	$1,739
Level 5 Urology and Related Services	112	$17,606	$4,878
Level 2 Intraocular Procedures	112	$19,070	$3,833
Level 5 Airway Endoscopy	110	$35,687	$6,498
Level 4 Musculoskeletal Procedures	109	$25,376	$6,643
Level 4 Urology and Related Services	108	$13,098	$3,261
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	88	$13,774	$3,227
Level 3 Excision/ Biopsy/ Incision and Drainage	82	$14,441	$2,441
Level 3 Endovascular Procedures	77	$56,512	$10,435
Level 3 Lower GI Procedures	70	$13,376	$2,646
Level 2 Breast/Lymphatic Surgery and Related Procedures	69	$29,786	$6,120
Level 4 Vascular Procedures	68	$28,244	$5,094
Level 2 Laparoscopy and Related Services	64	$43,123	$9,766
Level 4 Gynecologic Procedures	63	$14,224	$2,934
Level 3 Musculoskeletal Procedures	59	$11,569	$3,032
Level 4 Airway Endoscopy	55	$22,882	$3,555
Level 4 Endovascular Procedures	55	$65,900	$16,311

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Advocate Lutheran General Hospital charged $85,600 on average, 16% more than the Illinois average of $73,987, and was paid $20,874 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Advocate Lutheran General Hospital charged $58,733 on average, 27% more than the Illinois average of $46,293, and was paid $13,063 against a state average of $11,813. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Advocate Lutheran General Hospital charged $70,010 on average, 9% more than the Illinois average of $64,281, and was paid $16,208 against a state average of $14,664. For Respiratory Infections and Inflammations with MCC (DRG 177), Advocate Lutheran General Hospital charged $70,783 on average, 18% more than the Illinois average of $59,769, and was paid $16,248 against a state average of $14,404. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,025 was 2% below the state average of $21,498. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,128 was 36% below the state average of $67,146. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,546 was 2% below the state average of $11,818. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,586 was 23% below the state average of $13,666.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.