Illinois / Anderson Hospital
CMS certification 140289 · Maryville, IL · 4 entries in CMS's price-transparency list
Anderson Hospital: charges and Medicare payments
Anderson Hospital reported 1,134 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 4.59 times what it was paid — among the higher ratios in Illinois, number 34 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: 145 stays at an average charge of $56,317, 38% below the national average. It also billed 1,147 outpatient services, charging 5.87 times what Medicare paid.
- 1Medicare inpatient stays 1,134
- 2Charge ÷ paid, inpatient 4.59×
- 3Rank in IL (highest ratio = 1) 34 of 106
- 4CMS price-transparency actions 4
Inpatient stays
For the 34 DRGs that can be compared with the national average, Anderson 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 | 145 | $56,317 | -38% | $13,806 |
| 291 Heart Failure and Shock with MCC | 111 | $43,891 | -22% | $9,648 |
| 193 Simple Pneumonia and Pleurisy with MCC | 82 | $45,549 | -24% | $9,807 |
| 690 Kidney and Urinary Tract Infections without MCC | 78 | $30,218 | -20% | $6,209 |
| 194 Simple Pneumonia and Pleurisy with CC | 58 | $38,099 | -1% | $6,350 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 49 | $35,034 | -29% | $8,164 |
| 689 Kidney and Urinary Tract Infections with MCC | 47 | $33,160 | -35% | $8,499 |
| 189 Pulmonary Edema and Respiratory Failure | 44 | $52,830 | -8% | $9,168 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $50,191 | -29% | $12,171 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $31,586 | -15% | $6,000 |
| 312 Syncope and Collapse | 31 | $37,706 | -17% | $6,547 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $35,368 | -12% | $6,098 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 27 | $33,074 | -8% | $5,792 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 26 | $37,566 | -34% | $9,078 |
| 683 Renal Failure with CC | 24 | $30,548 | -25% | $6,738 |
| 552 Medical Back Problems without MCC | 22 | $34,931 | -29% | $7,362 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $38,678 | -24% | $8,150 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $34,448 | -29% | $7,656 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $55,743 | -45% | $15,120 |
| 603 Cellulitis without MCC | 21 | $35,518 | -5% | $7,047 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $104,004 | -55% | $31,977 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $59,715 | -19% | $11,987 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $41,830 | -8% | $7,605 |
| 389 Gastrointestinal Obstruction with CC | 18 | $28,258 | -27% | $6,114 |
| 682 Renal Failure with MCC | 18 | $46,543 | -29% | $10,641 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $44,882 | -19% | $7,623 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $24,192 | -16% | $4,428 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $48,088 | -20% | $9,360 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 13 | $27,357 | -31% | $6,632 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $26,646 | -37% | $6,523 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $84,150 | -27% | $12,372 |
| 812 Red Blood Cell Disorders without MCC | 12 | $39,512 | -11% | $6,927 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $53,956 | -12% | $9,648 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $37,529 | -21% | $7,443 |
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Anderson Hospital charged $56,317 on average, 24% less than the Illinois average of $73,987, and was paid $13,806 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Anderson Hospital charged $43,891 on average, 5% less than the Illinois average of $46,293, and was paid $9,648 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Anderson Hospital charged $45,549 on average, 7% less than the Illinois average of $49,081, and was paid $9,807 against a state average of $11,857. For Kidney and Urinary Tract Infections without MCC (DRG 690), Anderson Hospital charged $30,218 on average, 2% less than the Illinois average of $30,972, and was paid $6,209 against a state average of $7,470. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,140 was 12% above the state average of $21,498. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,855 was 38% below the state average of $67,146. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $16,363 was 31% below the state average of $23,744. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $22,202 was 45% below the state average of $40,085.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Anderson Hospital in Maryville, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-01-21 (CMS case 3003)
- Met Requirements — 2026-03-25 (CMS case 7365)
- Warning Notice — 2026-04-08 (CMS case 7399)
- Closure Notice — 2026-07-14 (CMS case 7399)
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.