Illinois / Community First Medical Center
CMS certification 140251 · Chicago, IL · 6 entries in CMS's price-transparency list
Community First Medical Center: charges and Medicare payments
Community First Medical Center reported 403 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 4.95 times what it was paid — among the higher ratios in Illinois, number 20 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: 54 stays at an average charge of $67,964, 25% below the national average. It also billed 163 outpatient services, charging 8.82 times what Medicare paid.
- 1Medicare inpatient stays 403
- 2Charge ÷ paid, inpatient 4.95×
- 3Rank in IL (highest ratio = 1) 20 of 106
- 4CMS price-transparency actions 6
Inpatient stays
For the 21 DRGs that can be compared with the national average, Community First Medical Center charged more than the national average in 6 (29%). 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 | 54 | $67,964 | -25% | $15,174 |
| 291 Heart Failure and Shock with MCC | 44 | $49,097 | -13% | $10,560 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $55,321 | -27% | $13,772 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $33,742 | -11% | $6,953 |
| 683 Renal Failure with CC | 24 | $42,174 | +4% | $7,700 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $60,683 | +20% | $9,268 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $48,557 | -19% | $10,870 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $31,476 | -15% | $6,721 |
| 682 Renal Failure with MCC | 16 | $89,888 | +36% | $12,416 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $198,112 | -13% | $37,270 |
| 638 Diabetes with CC | 15 | $34,388 | -17% | $7,577 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $80,349 | +14% | $13,340 |
| 552 Medical Back Problems without MCC | 14 | $32,935 | -33% | $8,229 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $50,562 | -31% | $12,481 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $43,605 | +14% | $6,895 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $48,693 | -5% | $9,749 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 12 | $101,114 | -25% | $20,270 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $26,825 | -7% | $4,917 |
| 312 Syncope and Collapse | 12 | $33,984 | -25% | $7,534 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $24,060 | -40% | $6,821 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $36,373 | +1% | $6,589 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 136 | $19,553 | $2,570 |
| Level 2 Upper GI Procedures | 16 | $9,850 | $1,807 |
| Level 1 Laparoscopy and Related Services | 11 | $22,400 | $5,478 |
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community First Medical Center charged $67,964 on average, 8% less than the Illinois average of $73,987, and was paid $15,174 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Community First Medical Center charged $49,097 on average, 6% more than the Illinois average of $46,293, and was paid $10,560 against a state average of $11,813. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Community First Medical Center charged $55,321 on average, 14% less than the Illinois average of $64,281, and was paid $13,772 against a state average of $14,664. For Kidney and Urinary Tract Infections without MCC (DRG 690), Community First Medical Center charged $33,742 on average, 9% more than the Illinois average of $30,972, and was paid $6,953 against a state average of $7,470. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,553 was 9% below the state average of $21,498. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,850 was 28% below the state average of $13,666. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $22,400 was 44% below the state average of $40,085.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Community First Medical Center in Chicago, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-10-27 (CMS case 89)
- CAP Request — 2022-07-27 (CMS case 89)
- CMP Notice — 2023-07-24 (CMS case 89)
- Closure Notice — 2023-08-14 (CMS case 89)
- Met Requirements — 2024-11-14 (CMS case 2932)
- Met Requirements — 2025-08-21 (CMS case 6334)
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.