Illinois / Herrin Hospital
CMS certification 140011 · Herrin, IL · 2 entries in CMS's price-transparency list
Herrin Hospital: charges and Medicare payments
Herrin Hospital reported 1,493 Medicare inpatient stays across 54 DRGs in 2024. Across them it charged 3.99 times what it was paid — mid-range in Illinois, number 55 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: 190 stays at an average charge of $55,012, 39% below the national average. It also billed 837 outpatient services, charging 10.57 times what Medicare paid.
- 1Medicare inpatient stays 1,493
- 2Charge ÷ paid, inpatient 3.99×
- 3Rank in IL (highest ratio = 1) 55 of 106
- 4CMS price-transparency actions 2
Inpatient stays
For the 54 DRGs that can be compared with the national average, Herrin Hospital charged more than the national average in 2 (4%). 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 | 190 | $55,012 | -39% | $14,918 |
| 291 Heart Failure and Shock with MCC | 88 | $33,389 | -41% | $9,196 |
| 193 Simple Pneumonia and Pleurisy with MCC | 82 | $33,225 | -44% | $10,136 |
| 189 Pulmonary Edema and Respiratory Failure | 72 | $38,714 | -33% | $9,363 |
| 177 Respiratory Infections and Inflammations with MCC | 57 | $44,152 | -37% | $12,501 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $25,256 | -32% | $6,008 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $34,405 | -30% | $8,613 |
| 682 Renal Failure with MCC | 38 | $41,210 | -38% | $12,213 |
| 690 Kidney and Urinary Tract Infections without MCC | 38 | $21,983 | -42% | $5,786 |
| 683 Renal Failure with CC | 37 | $23,631 | -42% | $7,067 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 35 | $42,017 | -25% | $8,883 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 35 | $29,234 | -42% | $8,156 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 34 | $27,530 | -31% | $5,655 |
| 603 Cellulitis without MCC | 33 | $25,424 | -32% | $6,305 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $38,068 | -22% | $7,166 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $42,522 | -29% | $9,405 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $45,167 | -20% | $8,652 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $29,450 | -18% | $6,294 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $30,050 | -22% | $7,074 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $34,341 | -55% | $11,089 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 22 | $104,194 | -25% | $21,016 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $30,542 | -40% | $8,322 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $47,597 | -44% | $12,387 |
| 312 Syncope and Collapse | 20 | $30,694 | -33% | $6,161 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $43,798 | -40% | $11,698 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $88,404 | -12% | $14,785 |
| 071 Other Cerebrovascular Disorders with CC | 18 | $30,185 | -40% | $7,586 |
| 637 Diabetes with MCC | 18 | $42,544 | -36% | $10,149 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 17 | $65,197 | -35% | $14,158 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 17 | $26,987 | -32% | $6,006 |
| 070 Other Cerebrovascular Disorders with MCC | 16 | $46,975 | -38% | $16,276 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $90,680 | -11% | $15,034 |
| 552 Medical Back Problems without MCC | 16 | $29,731 | -39% | $7,067 |
| 069 Transient Ischemia without Thrombolytic | 15 | $40,964 | -19% | $5,828 |
| 389 Gastrointestinal Obstruction with CC | 15 | $27,233 | -30% | $5,702 |
| 884 Organic Disturbances and Intellectual Disability | 15 | $28,336 | -55% | $11,891 |
| 101 Seizures without MCC | 14 | $28,623 | -41% | $6,606 |
| 305 Hypertension without MCC | 14 | $31,926 | -20% | $5,470 |
| 602 Cellulitis with MCC | 14 | $31,680 | -47% | $10,429 |
| 684 Renal Failure without CC/MCC | 14 | $21,222 | -28% | $4,388 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $59,400 | -40% | $14,319 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $48,902 | -25% | $10,081 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $32,053 | -29% | $8,022 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $98,721 | +6% | $26,310 |
| 811 Red Blood Cell Disorders with MCC | 13 | $35,145 | -48% | $10,725 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $129,248 | -44% | $36,725 |
| 948 Signs and Symptoms without MCC | 13 | $22,268 | -42% | $5,676 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $20,977 | -27% | $4,024 |
| 313 Chest Pain | 12 | $22,674 | -43% | $5,231 |
| 394 Other Digestive System Diagnoses with CC | 12 | $31,980 | -32% | $6,697 |
| 536 Fractures of Hip and Pelvis without MCC | 12 | $21,892 | -42% | $5,621 |
| 092 Other Disorders of Nervous System with CC | 11 | $54,965 | +7% | $7,577 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $35,383 | -42% | $10,206 |
| 638 Diabetes with CC | 11 | $21,573 | -48% | $8,648 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 264 | $26,134 | $2,492 |
| Level 5 Musculoskeletal Procedures | 121 | $85,003 | $11,972 |
| Level 4 Urology and Related Services | 71 | $34,174 | $3,113 |
| Level 3 Urology and Related Services | 66 | $23,653 | $1,860 |
| Level 5 Urology and Related Services | 59 | $48,315 | $4,717 |
| Level 2 Urology and Related Services | 52 | $17,507 | $631 |
| Level 4 Musculoskeletal Procedures | 48 | $57,897 | $6,173 |
| Level 3 Musculoskeletal Procedures | 33 | $37,325 | $2,919 |
| Level 2 Upper GI Procedures | 33 | $17,954 | $1,758 |
| Level 6 Musculoskeletal Procedures | 31 | $96,746 | $17,185 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $16,984 | $1,498 |
| Level 2 Neurostimulator and Related Procedures | 16 | $19,583 | $3,160 |
| Level 3 Vascular Procedures | 11 | $35,863 | $2,946 |
| Level 1 Laparoscopy and Related Services | 11 | $81,667 | $5,332 |
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Herrin Hospital charged $55,012 on average, 26% less than the Illinois average of $73,987, and was paid $14,918 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Herrin Hospital charged $33,389 on average, 28% less than the Illinois average of $46,293, and was paid $9,196 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Herrin Hospital charged $33,225 on average, 32% less than the Illinois average of $49,081, and was paid $10,136 against a state average of $11,857. For Pulmonary Edema and Respiratory Failure (DRG 189), Herrin Hospital charged $38,714 on average, 23% less than the Illinois average of $50,573, and was paid $9,363 against a state average of $11,480. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,134 was 22% above the state average of $21,498. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $85,003 was 27% above the state average of $67,146. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $34,174 was 44% above the state average of $23,744. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $23,653 was 73% above the state average of $13,661.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Herrin Hospital in Herrin, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-02-17 (CMS case 7032)
- Closure Notice — 2026-05-20 (CMS case 7032)
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.