Illinois / Harrisburg Medical Center
CMS certification 140210 · Harrisburg, IL
Harrisburg Medical Center: charges and Medicare payments
Harrisburg Medical Center reported 125 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 2.08 times what it was paid — among the lower ratios in Illinois, number 101 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: 53 stays at an average charge of $30,542, 66% below the national average. It also billed 377 outpatient services, charging 9.65 times what Medicare paid.
- 1Medicare inpatient stays 125
- 2Charge ÷ paid, inpatient 2.08×
- 3Rank in IL (highest ratio = 1) 101 of 106
- 4CMS price-transparency actions 0
Inpatient stays
For the 6 DRGs that can be compared with the national average, Harrisburg Medical Center charged more than the national average in 0 (0%). 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 | 53 | $30,542 | -66% | $17,496 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $23,936 | -60% | $11,785 |
| 189 Pulmonary Edema and Respiratory Failure | 16 | $28,734 | -50% | $11,797 |
| 683 Renal Failure with CC | 13 | $22,729 | -44% | $8,819 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $25,619 | -32% | $8,093 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 12 | $26,902 | -45% | $9,806 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 132 | $19,992 | $2,677 |
| Level 1 Intraocular Procedures | 109 | $17,283 | $2,173 |
| Level 2 Upper GI Procedures | 32 | $18,188 | $1,883 |
| Level 5 Urology and Related Services | 30 | $32,078 | $4,986 |
| Level 4 Urology and Related Services | 22 | $26,852 | $3,451 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $11,062 | $1,605 |
| Level 3 Vascular Procedures | 14 | $26,651 | $3,155 |
| Level 1 Laparoscopy and Related Services | 11 | $40,270 | $5,711 |
| Level 3 Urology and Related Services | 11 | $19,378 | $1,870 |
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Harrisburg Medical Center charged $30,542 on average, 59% less than the Illinois average of $73,987, and was paid $17,496 against a state average of $17,651. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Harrisburg Medical Center charged $23,936 on average, 51% less than the Illinois average of $49,081, and was paid $11,785 against a state average of $11,857. For Pulmonary Edema and Respiratory Failure (DRG 189), Harrisburg Medical Center charged $28,734 on average, 43% less than the Illinois average of $50,573, and was paid $11,797 against a state average of $11,480. For Renal Failure with CC (DRG 683), Harrisburg Medical Center charged $22,729 on average, 34% less than the Illinois average of $34,485, and was paid $8,819 against a state average of $8,535. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,992 was 7% below the state average of $21,498. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,283 was 16% above the state average of $14,917. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,188 was 33% above the state average of $13,666. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $32,078 was 5% below the state average of $33,825.
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.