Edward Hospital: charges and Medicare payments

Edward Hospital reported 5,324 Medicare inpatient stays across 142 DRGs in 2024. Across them it charged 5.05 times what it was paid — among the higher ratios in Illinois, number 17 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: 374 stays at an average charge of $78,479, 13% below the national average. It also billed 5,076 outpatient services, charging 8.86 times what Medicare paid.

1Medicare inpatient stays 5,324
2Charge ÷ paid, inpatient 5.05×
3Rank in IL (highest ratio = 1) 17 of 106
4CMS price-transparency actions 0

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

Inpatient stays

For the 142 DRGs that can be compared with the national average, Edward Hospital charged more than the national average in 33 (23%). 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	374	$78,479	-13%	$15,691
291 Heart Failure and Shock with MCC	352	$48,430	-14%	$10,090
177 Respiratory Infections and Inflammations with MCC	155	$67,247	-5%	$11,956
193 Simple Pneumonia and Pleurisy with MCC	151	$54,894	-8%	$12,686
690 Kidney and Urinary Tract Infections without MCC	132	$29,706	-21%	$6,358
378 Gastrointestinal Hemorrhage with CC	114	$47,987	-1%	$7,366
189 Pulmonary Edema and Respiratory Failure	109	$63,208	+10%	$10,939
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	102	$36,008	-10%	$7,806
274 Percutaneous and Other Intracardiac Procedures without MCC	96	$163,518	+4%	$26,724
689 Kidney and Urinary Tract Infections with MCC	91	$43,847	-15%	$8,972
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	86	$27,951	-25%	$6,761
698 Other Kidney and Urinary Tract Diagnoses with MCC	85	$50,513	-31%	$11,784
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	85	$32,881	-33%	$9,387
309 Cardiac Arrhythmia and Conduction Disorders with CC	81	$29,020	-20%	$6,731
194 Simple Pneumonia and Pleurisy with CC	78	$31,555	-18%	$6,931
470 Major Hip and Knee Joint Replacement or Reattachment of...	72	$68,832	-26%	$17,105
603 Cellulitis without MCC	72	$26,388	-29%	$7,453
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	69	$54,101	-3%	$7,955
312 Syncope and Collapse	68	$38,944	-14%	$8,059
683 Renal Failure with CC	64	$34,150	-16%	$6,800
853 Infectious and Parasitic Diseases with O.R. Procedures with...	61	$175,730	-23%	$32,687
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	55	$84,926	-15%	$26,142
682 Renal Failure with MCC	54	$63,356	-4%	$13,829
190 Chronic Obstructive Pulmonary Disease with MCC	53	$46,360	-8%	$8,556
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	52	$46,512	-23%	$12,515
267 Endovascular Cardiac Valve Replacement and Supplement...	51	$229,503	+4%	$37,325
308 Cardiac Arrhythmia and Conduction Disorders with MCC	51	$47,221	-17%	$10,163
389 Gastrointestinal Obstruction with CC	51	$30,899	-21%	$6,453
178 Respiratory Infections and Inflammations with CC	49	$33,859	-25%	$7,677
481 Hip and Femur Procedures except Major Joint with CC	49	$83,363	-17%	$17,937
812 Red Blood Cell Disorders without MCC	49	$43,693	-2%	$6,959
322 Percutaneous Cardiovascular Procedures with Intraluminal...	48	$106,346	-7%	$15,664
330 Major Small and Large Bowel Procedures with CC	48	$116,076	-2%	$26,906
066 Intracranial Hemorrhage or Cerebral Infarction without...	46	$39,280	-7%	$4,925
286 Circulatory Disorders except AMI, with Cardiac...	45	$105,360	-6%	$23,103
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	45	$25,369	-12%	$6,282
699 Other Kidney and Urinary Tract Diagnoses with CC	45	$30,124	-37%	$7,133
280 Acute Myocardial Infarction, Discharged Alive with MCC	41	$55,241	-27%	$11,841
460 Spinal Fusion except Cervical without MCC	40	$126,824	-26%	$32,930
321 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$146,174	-11%	$28,576
552 Medical Back Problems without MCC	36	$33,817	-31%	$7,396
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	35	$62,909	-3%	$10,672
377 Gastrointestinal Hemorrhage with MCC	34	$72,240	-15%	$13,742
252 Other Vascular Procedures with MCC	33	$230,711	+35%	$31,877
329 Major Small and Large Bowel Procedures with MCC	33	$155,417	-28%	$27,837
253 Other Vascular Procedures with CC	32	$144,719	+10%	$24,621
287 Circulatory Disorders except AMI, with Cardiac...	32	$53,541	-16%	$15,832
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	32	$61,984	+2%	$9,703
086 Traumatic Stupor and Coma <1 Hour with CC	30	$66,948	-2%	$11,063
243 Permanent Cardiac Pacemaker Implant with CC	30	$115,423	+4%	$16,177
372 Major Gastrointestinal Disorders and Peritoneal Infections...	30	$36,440	-23%	$7,125
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	30	$232,732	+15%	$35,081
602 Cellulitis with MCC	30	$33,018	-45%	$11,015
454 Combined Anterior and Posterior Spinal Fusion with CC	28	$252,330	-10%	$65,042
331 Major Small and Large Bowel Procedures without CC/MCC	27	$101,216	+18%	$20,115
390 Gastrointestinal Obstruction without CC/MCC	27	$25,169	-10%	$5,737
435 Malignancy of Hepatobiliary System or Pancreas with MCC	26	$74,322	-21%	$13,151
472 Cervical Spinal Fusion with CC	26	$146,151	+2%	$29,395
025 Craniotomy and Endovascular Intracranial Procedures with MCC	25	$220,771	-5%	$54,967
176 Pulmonary Embolism without MCC	25	$44,687	+8%	$5,994

Showing the 60 most frequent of 142 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	992	$24,730	$2,558
Level 2 Upper GI Procedures	364	$14,906	$1,784
Level 1 Endovascular Procedures	340	$26,204	$3,068
Level 2 Excision/ Biopsy/ Incision and Drainage	286	$12,437	$1,522
Level 2 Urology and Related Services	257	$5,545	$454
Level 5 Musculoskeletal Procedures	249	$61,897	$12,188
Level 1 Laparoscopy and Related Services	183	$40,835	$5,413
Level 5 Urology and Related Services	171	$35,932	$4,844
Level 3 Endovascular Procedures	167	$77,083	$10,329
Level 3 Electrophysiologic Procedures	166	$176,861	$22,239
Level 3 Vascular Procedures	163	$21,776	$2,997
Level 4 Urology and Related Services	127	$25,212	$3,289
Level 4 Musculoskeletal Procedures	104	$48,312	$6,740
Level 4 Airway Endoscopy	103	$29,235	$3,473
Level 1 Nerve Procedures	102	$10,664	$1,833
Level 1 Breast/Lymphatic Surgery and Related Procedures	78	$24,397	$3,619
Level 3 Pacemaker and Similar Procedures	77	$65,583	$10,130
Level 3 Urology and Related Services	73	$16,688	$1,913
Level 5 Airway Endoscopy	70	$46,250	$6,424
Level 3 Excision/ Biopsy/ Incision and Drainage	69	$26,391	$2,574
Level 2 Breast/Lymphatic Surgery and Related Procedures	65	$41,007	$6,064
Level 6 Musculoskeletal Procedures	61	$130,633	$17,129
Level 4 Gynecologic Procedures	57	$17,432	$2,885
Level 2 Pacemaker and Similar Procedures	55	$53,939	$7,944
Level 4 Endovascular Procedures	54	$111,884	$16,613

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Edward Hospital charged $78,479 on average, 6% more than the Illinois average of $73,987, and was paid $15,691 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Edward Hospital charged $48,430 on average, 5% more than the Illinois average of $46,293, and was paid $10,090 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Edward Hospital charged $67,247 on average, 13% more than the Illinois average of $59,769, and was paid $11,956 against a state average of $14,404. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Edward Hospital charged $54,894 on average, 12% more than the Illinois average of $49,081, and was paid $12,686 against a state average of $11,857. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,730 was 15% above the state average of $21,498. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $14,906 was 9% above the state average of $13,666. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,204 was 5% above the state average of $25,004. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,437 was 5% above the state average of $11,818.

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.