Illinois / Graham Hospital Association
CMS certification 140001 · Canton, IL · 3 entries in CMS's price-transparency list
Graham Hospital Association: charges and Medicare payments
Graham Hospital Association reported 214 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 2.36 times what it was paid — among the lower ratios in Illinois, number 99 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: 71 stays at an average charge of $46,138, 49% below the national average. It also billed 528 outpatient services, charging 6.26 times what Medicare paid.
- 1Medicare inpatient stays 214
- 2Charge ÷ paid, inpatient 2.36×
- 3Rank in IL (highest ratio = 1) 99 of 106
- 4CMS price-transparency actions 3
Inpatient stays
For the 10 DRGs that can be compared with the national average, Graham Hospital Association charged more than the national average in 1 (10%). 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 | 71 | $46,138 | -49% | $20,076 |
| 291 Heart Failure and Shock with MCC | 38 | $28,916 | -49% | $13,747 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $19,082 | -50% | $9,209 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $24,584 | -50% | $10,952 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $91,102 | +29% | $31,931 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $33,969 | -41% | $13,012 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $26,097 | -35% | $9,107 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $25,859 | -57% | $13,573 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $31,053 | -36% | $10,525 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $19,047 | -49% | $8,205 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 3 Urology and Related Services | 80 | $11,203 | $2,016 |
| Comprehensive Observation Services | 76 | $17,212 | $2,645 |
| Level 2 Urology and Related Services | 62 | $3,479 | $642 |
| Level 4 Urology and Related Services | 43 | $15,163 | $3,451 |
| Level 5 Urology and Related Services | 43 | $18,887 | $5,121 |
| Level 2 Upper GI Procedures | 39 | $9,581 | $1,738 |
| Level 1 Laparoscopy and Related Services | 37 | $30,089 | $5,711 |
| Level 5 Musculoskeletal Procedures | 30 | $61,250 | $12,248 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 27 | $8,600 | $1,605 |
| Level 3 Musculoskeletal Procedures | 27 | $17,936 | $3,204 |
| Level 1 Nerve Procedures | 21 | $9,879 | $1,911 |
| Level 3 Vascular Procedures | 19 | $10,166 | $3,155 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $14,539 | $2,812 |
| Level 2 Musculoskeletal Procedures | 11 | $10,544 | $1,591 |
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Graham Hospital Association charged $46,138 on average, 38% less than the Illinois average of $73,987, and was paid $20,076 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Graham Hospital Association charged $28,916 on average, 38% less than the Illinois average of $46,293, and was paid $13,747 against a state average of $11,813. For Kidney and Urinary Tract Infections without MCC (DRG 690), Graham Hospital Association charged $19,082 on average, 38% less than the Illinois average of $30,972, and was paid $9,209 against a state average of $7,470. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Graham Hospital Association charged $24,584 on average, 40% less than the Illinois average of $41,000, and was paid $10,952 against a state average of $9,886. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $11,203 was 18% below the state average of $13,661. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,212 was 20% below the state average of $21,498. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,479 was 13% below the state average of $4,013. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $15,163 was 36% below the state average of $23,744.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Graham Hospital Association in Canton, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-01-15 (CMS case 6816)
- CAP Request — 2026-04-17 (CMS case 6816)
- Closure Notice — 2026-06-02 (CMS case 6816)
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.