Illinois / Advocate Sherman Hospital
CMS certification 140030 · Elgin, IL · 1 entry in CMS's price-transparency list
Advocate Sherman Hospital: charges and Medicare payments
Advocate Sherman Hospital reported 2,963 Medicare inpatient stays across 86 DRGs in 2024. Across them it charged 4.46 times what it was paid — mid-range in Illinois, number 38 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: 318 stays at an average charge of $76,479, 15% below the national average. It also billed 3,220 outpatient services, charging 6.66 times what Medicare paid.
- 1Medicare inpatient stays 2,963
- 2Charge ÷ paid, inpatient 4.46×
- 3Rank in IL (highest ratio = 1) 38 of 106
- 4CMS price-transparency actions 1
Inpatient stays
For the 86 DRGs that can be compared with the national average, Advocate Sherman Hospital charged more than the national average in 7 (8%). 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 | 318 | $76,479 | -15% | $16,411 |
| 291 Heart Failure and Shock with MCC | 240 | $48,449 | -14% | $10,952 |
| 193 Simple Pneumonia and Pleurisy with MCC | 111 | $51,299 | -14% | $11,063 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 94 | $36,007 | -10% | $7,532 |
| 189 Pulmonary Edema and Respiratory Failure | 88 | $46,338 | -20% | $9,689 |
| 690 Kidney and Urinary Tract Infections without MCC | 81 | $30,585 | -19% | $7,116 |
| 689 Kidney and Urinary Tract Infections with MCC | 74 | $38,334 | -25% | $9,647 |
| 177 Respiratory Infections and Inflammations with MCC | 68 | $62,133 | -12% | $12,627 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 68 | $39,448 | +9% | $6,557 |
| 378 Gastrointestinal Hemorrhage with CC | 67 | $48,013 | -1% | $8,598 |
| 603 Cellulitis without MCC | 62 | $28,690 | -23% | $8,413 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 60 | $42,307 | -14% | $10,718 |
| 683 Renal Failure with CC | 56 | $34,856 | -14% | $7,092 |
| 552 Medical Back Problems without MCC | 52 | $35,633 | -27% | $8,517 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 51 | $46,789 | -22% | $10,862 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 51 | $33,019 | -11% | $7,458 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 51 | $55,322 | -25% | $12,529 |
| 682 Renal Failure with MCC | 47 | $60,769 | -8% | $11,587 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 45 | $117,204 | -25% | $24,232 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 44 | $153,523 | -31% | $35,868 |
| 389 Gastrointestinal Obstruction with CC | 43 | $32,356 | -17% | $8,451 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $173,395 | -24% | $44,993 |
| 812 Red Blood Cell Disorders without MCC | 40 | $53,595 | +21% | $7,306 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 35 | $30,258 | +5% | $4,949 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 35 | $37,791 | -20% | $8,472 |
| 312 Syncope and Collapse | 33 | $34,204 | -25% | $6,987 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $49,104 | -12% | $8,763 |
| 178 Respiratory Infections and Inflammations with CC | 27 | $40,787 | -10% | $10,655 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $35,620 | -7% | $6,642 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $81,828 | -29% | $13,967 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 25 | $87,697 | -22% | $17,740 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $51,552 | -9% | $13,494 |
| 481 Hip and Femur Procedures except Major Joint with CC | 24 | $79,934 | -21% | $15,606 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $45,492 | -25% | $10,403 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 22 | $34,589 | -19% | $7,168 |
| 811 Red Blood Cell Disorders with MCC | 22 | $71,408 | +5% | $11,325 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 21 | $46,698 | -2% | $8,208 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 20 | $57,969 | -11% | $10,703 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $36,481 | -28% | $8,605 |
| 300 Peripheral Vascular Disorders with CC | 20 | $36,908 | -25% | $8,080 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 19 | $70,965 | -29% | $12,404 |
| 202 Bronchitis and Asthma with CC/MCC | 19 | $42,212 | -9% | $11,660 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $76,963 | +2% | $12,246 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $67,319 | -21% | $13,183 |
| 638 Diabetes with CC | 19 | $37,092 | -11% | $9,109 |
| 884 Organic Disturbances and Intellectual Disability | 19 | $34,367 | -45% | $12,179 |
| 057 Degenerative Nervous System Disorders without MCC | 18 | $33,987 | -40% | $11,274 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 18 | $71,832 | -35% | $17,243 |
| 299 Peripheral Vascular Disorders with MCC | 18 | $53,334 | -29% | $14,305 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $116,375 | -29% | $31,287 |
| 394 Other Digestive System Diagnoses with CC | 17 | $35,738 | -24% | $12,022 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 17 | $47,477 | -30% | $10,934 |
| 305 Hypertension without MCC | 16 | $30,636 | -24% | $6,216 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $109,578 | -21% | $21,389 |
| 551 Medical Back Problems with MCC | 16 | $61,929 | -21% | $21,985 |
| 074 Cranial and Peripheral Nerve Disorders without MCC | 15 | $43,254 | -19% | $8,255 |
| 314 Other Circulatory System Diagnoses with MCC | 15 | $96,105 | +1% | $24,614 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 15 | $76,981 | -17% | $14,687 |
| 602 Cellulitis with MCC | 15 | $42,127 | -30% | $17,020 |
| 637 Diabetes with MCC | 15 | $56,519 | -15% | $12,534 |
Showing the 60 most frequent of 86 DRGs.
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Advocate Sherman Hospital charged $76,479 on average, 3% more than the Illinois average of $73,987, and was paid $16,411 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Advocate Sherman Hospital charged $48,449 on average, 5% more than the Illinois average of $46,293, and was paid $10,952 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Advocate Sherman Hospital charged $51,299 on average, 5% more than the Illinois average of $49,081, and was paid $11,063 against a state average of $11,857. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Advocate Sherman Hospital charged $36,007 on average, 10% more than the Illinois average of $32,877, and was paid $7,532 against a state average of $7,851. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,173 was 11% below the state average of $21,498. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,060 was 33% below the state average of $14,917. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,812 was 38% above the state average of $13,666. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,903 was 31% below the state average of $12,903.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Advocate Sherman Hospital in Elgin, 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 5319)
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.