Illinois / Cgh Medical Center
CMS certification 140043 · Sterling, IL · 2 entries in CMS's price-transparency list
Cgh Medical Center: charges and Medicare payments
Cgh Medical Center reported 930 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 5.23 times what it was paid — among the higher ratios in Illinois, number 15 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: 139 stays at an average charge of $60,232, 33% below the national average. It also billed 2,081 outpatient services, charging 9.97 times what Medicare paid.
- 1Medicare inpatient stays 930
- 2Charge ÷ paid, inpatient 5.23×
- 3Rank in IL (highest ratio = 1) 15 of 106
- 4CMS price-transparency actions 2
Inpatient stays
For the 34 DRGs that can be compared with the national average, Cgh Medical Center charged more than the national average in 9 (26%). 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 | 139 | $60,232 | -33% | $14,906 |
| 291 Heart Failure and Shock with MCC | 75 | $44,728 | -21% | $9,499 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 54 | $44,418 | -9% | $7,689 |
| 193 Simple Pneumonia and Pleurisy with MCC | 45 | $52,432 | -12% | $9,806 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $53,850 | +6% | $8,366 |
| 177 Respiratory Infections and Inflammations with MCC | 31 | $59,294 | -16% | $12,281 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $34,654 | -8% | $6,064 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $196,864 | +72% | $22,887 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $33,143 | -8% | $5,673 |
| 194 Simple Pneumonia and Pleurisy with CC | 28 | $32,644 | -15% | $7,270 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $44,775 | -39% | $12,211 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $54,613 | -5% | $9,116 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 26 | $89,013 | -21% | $15,955 |
| 885 Psychoses | 25 | $25,963 | -41% | $10,839 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 24 | $32,216 | -19% | $6,417 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $38,619 | -25% | $8,746 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $25,740 | -31% | $5,871 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 20 | $34,813 | +21% | $4,373 |
| 378 Gastrointestinal Hemorrhage with CC | 19 | $41,437 | -15% | $7,388 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $91,822 | -10% | $15,630 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 18 | $87,583 | +37% | $12,173 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $224,716 | +37% | $27,753 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $40,294 | -33% | $9,728 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $57,335 | +1% | $8,999 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $80,346 | -20% | $19,066 |
| 603 Cellulitis without MCC | 16 | $30,646 | -18% | $6,623 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $31,744 | -30% | $7,459 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $33,545 | -16% | $5,912 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $135,434 | -41% | $36,840 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $77,556 | +2% | $11,738 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $53,029 | -38% | $13,212 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $57,674 | +14% | $6,810 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $25,220 | -10% | $4,288 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $103,536 | +5% | $22,001 |
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cgh Medical Center charged $60,232 on average, 19% less than the Illinois average of $73,987, and was paid $14,906 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Cgh Medical Center charged $44,728 on average, 3% less than the Illinois average of $46,293, and was paid $9,499 against a state average of $11,813. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Cgh Medical Center charged $44,418 on average, 8% more than the Illinois average of $41,000, and was paid $7,689 against a state average of $9,886. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cgh Medical Center charged $52,432 on average, 7% more than the Illinois average of $49,081, and was paid $9,806 against a state average of $11,857. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,475 was 16% below the state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,253 was 13% above the state average of $21,498. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,730 was 57% below the state average of $4,013. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,925 was 26% above the state average of $11,818.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cgh Medical Center in Sterling, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-01-02 (CMS case 2996)
- Closure Notice — 2025-02-27 (CMS case 2996)
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.