Elmhurst Memorial Hospital: charges and Medicare payments

Elmhurst Memorial Hospital reported 4,309 Medicare inpatient stays across 112 DRGs in 2024. Across them it charged 4.94 times what it was paid — among the higher ratios in Illinois, number 21 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 352 stays at an average charge of $49,613, 12% below the national average. It also billed 3,939 outpatient services, charging 8.37 times what Medicare paid.

1Medicare inpatient stays 4,309
2Charge ÷ paid, inpatient 4.94×
3Rank in IL (highest ratio = 1) 21 of 106
4CMS price-transparency actions 0

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

Inpatient stays

For the 112 DRGs that can be compared with the national average, Elmhurst Memorial Hospital charged more than the national average in 28 (25%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	352	$49,613	-12%	$11,186
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	324	$73,413	-19%	$15,601
470 Major Hip and Knee Joint Replacement or Reattachment of...	165	$87,778	-6%	$14,795
177 Respiratory Infections and Inflammations with MCC	136	$65,954	-7%	$15,380
193 Simple Pneumonia and Pleurisy with MCC	116	$51,361	-14%	$10,541
690 Kidney and Urinary Tract Infections without MCC	109	$36,572	-3%	$7,250
689 Kidney and Urinary Tract Infections with MCC	97	$44,712	-13%	$9,102
189 Pulmonary Edema and Respiratory Failure	94	$57,243	-1%	$10,116
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	89	$45,192	-8%	$8,355
603 Cellulitis without MCC	88	$37,756	+1%	$8,985
378 Gastrointestinal Hemorrhage with CC	83	$50,972	+5%	$8,739
683 Renal Failure with CC	81	$36,561	-10%	$7,252
698 Other Kidney and Urinary Tract Diagnoses with MCC	73	$61,556	-16%	$14,347
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	72	$38,787	-3%	$8,849
190 Chronic Obstructive Pulmonary Disease with MCC	68	$46,661	-8%	$9,579
682 Renal Failure with MCC	66	$59,403	-10%	$10,837
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	61	$37,648	+2%	$7,097
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	56	$49,662	-11%	$10,457
460 Spinal Fusion except Cervical without MCC	54	$133,387	-22%	$26,111
483 Major Joint or Limb Reattachment Procedures of Upper...	50	$130,339	+3%	$18,929
552 Medical Back Problems without MCC	49	$50,036	+2%	$8,460
308 Cardiac Arrhythmia and Conduction Disorders with MCC	47	$47,876	-15%	$10,564
481 Hip and Femur Procedures except Major Joint with CC	46	$101,558	+1%	$17,333
309 Cardiac Arrhythmia and Conduction Disorders with CC	44	$29,169	-19%	$6,591
377 Gastrointestinal Hemorrhage with MCC	44	$74,129	-13%	$12,655
286 Circulatory Disorders except AMI, with Cardiac...	43	$108,440	-3%	$17,090
280 Acute Myocardial Infarction, Discharged Alive with MCC	42	$60,043	-21%	$13,091
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	42	$200,940	-1%	$36,182
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$42,648	-29%	$11,072
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	41	$79,745	-20%	$16,507
853 Infectious and Parasitic Diseases with O.R. Procedures with...	41	$188,158	-18%	$38,131
394 Other Digestive System Diagnoses with CC	39	$46,653	-1%	$9,455
472 Cervical Spinal Fusion with CC	39	$120,283	-16%	$30,795
602 Cellulitis with MCC	39	$47,359	-21%	$10,939
312 Syncope and Collapse	37	$37,136	-18%	$8,917
321 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$148,580	-9%	$38,779
699 Other Kidney and Urinary Tract Diagnoses with CC	37	$35,638	-25%	$11,169
178 Respiratory Infections and Inflammations with CC	36	$42,029	-7%	$8,747
057 Degenerative Nervous System Disorders without MCC	35	$55,245	-2%	$9,654
202 Bronchitis and Asthma with CC/MCC	34	$41,869	-9%	$8,853
322 Percutaneous Cardiovascular Procedures with Intraluminal...	34	$119,806	+5%	$21,309
468 Revision of Hip or Knee Replacement without CC/MCC	32	$137,237	+11%	$30,119
194 Simple Pneumonia and Pleurisy with CC	31	$33,181	-14%	$7,086
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	31	$62,405	+2%	$10,840
638 Diabetes with CC	31	$31,379	-25%	$8,057
066 Intracranial Hemorrhage or Cerebral Infarction without...	29	$37,400	-12%	$5,898
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	29	$65,784	+1%	$12,526
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	29	$59,816	-11%	$11,719
389 Gastrointestinal Obstruction with CC	27	$47,323	+22%	$13,049
536 Fractures of Hip and Pelvis without MCC	25	$32,919	-13%	$5,979
330 Major Small and Large Bowel Procedures with CC	23	$139,434	+17%	$28,408
176 Pulmonary Embolism without MCC	22	$36,827	-11%	$9,222
287 Circulatory Disorders except AMI, with Cardiac...	22	$58,751	-8%	$11,385
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$99,223	-3%	$15,414
372 Major Gastrointestinal Disorders and Peritoneal Infections...	21	$46,160	-3%	$10,255
812 Red Blood Cell Disorders without MCC	21	$36,176	-18%	$8,071
101 Seizures without MCC	20	$39,863	-18%	$7,208
390 Gastrointestinal Obstruction without CC/MCC	20	$36,791	+32%	$5,682
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	20	$169,334	-22%	$31,098
086 Traumatic Stupor and Coma <1 Hour with CC	19	$40,307	-41%	$9,532

Showing the 60 most frequent of 112 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	563	$25,986	$2,557
Level 5 Musculoskeletal Procedures	339	$67,272	$12,158
Level 1 Endovascular Procedures	263	$23,842	$3,056
Level 2 Excision/ Biopsy/ Incision and Drainage	260	$13,758	$1,521
Level 2 Upper GI Procedures	187	$14,783	$1,807
Level 5 Urology and Related Services	181	$31,083	$4,894
Level 3 Endovascular Procedures	156	$75,208	$10,435
Level 4 Urology and Related Services	150	$22,681	$3,292
Level 4 Musculoskeletal Procedures	135	$43,485	$6,552
Level 1 Laparoscopy and Related Services	133	$38,738	$5,413
Level 3 Urology and Related Services	130	$14,810	$1,934
Level 6 Musculoskeletal Procedures	119	$106,348	$17,116
Level 3 Vascular Procedures	111	$19,188	$2,984
Level 2 Urology and Related Services	94	$6,079	$638
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	86	$22,377	$3,266
Level 4 Endovascular Procedures	84	$120,977	$16,435
Level 3 Excision/ Biopsy/ Incision and Drainage	81	$24,881	$2,671
Level 3 Musculoskeletal Procedures	81	$23,768	$3,043
Level 2 Musculoskeletal Procedures	62	$14,078	$1,526
Level 3 Pacemaker and Similar Procedures	58	$59,349	$9,983
Level 2 Intraocular Procedures	57	$29,277	$3,806
Level 1 Breast/Lymphatic Surgery and Related Procedures	49	$25,424	$3,560
Level 3 Electrophysiologic Procedures	48	$181,364	$22,490
Level 1 Nerve Procedures	47	$12,644	$1,802
Level 2 Endovascular Procedures	45	$44,583	$5,331

Against the Illinois average

For Heart Failure and Shock with MCC (DRG 291), Elmhurst Memorial Hospital charged $49,613 on average, 7% more than the Illinois average of $46,293, and was paid $11,186 against a state average of $11,813. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Elmhurst Memorial Hospital charged $73,413 on average, 1% less than the Illinois average of $73,987, and was paid $15,601 against a state average of $17,651. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Elmhurst Memorial Hospital charged $87,778 on average, 10% more than the Illinois average of $79,993, and was paid $14,795 against a state average of $16,670. For Respiratory Infections and Inflammations with MCC (DRG 177), Elmhurst Memorial Hospital charged $65,954 on average, 10% more than the Illinois average of $59,769, and was paid $15,380 against a state average of $14,404. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,986 was 21% above the state average of $21,498. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $67,272 was 0% below the state average of $67,146. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,842 was 5% below the state average of $25,004. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,758 was 16% 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.