Illinois / Holy Cross Hospital
CMS certification 140133 · Chicago, IL · 5 entries in CMS's price-transparency list
Holy Cross Hospital: charges and Medicare payments
Holy Cross Hospital reported 339 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 4.05 times what it was paid — mid-range in Illinois, number 54 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: 58 stays at an average charge of $46,839, 17% below the national average. It also billed 118 outpatient services, charging 10.9 times what Medicare paid.
- 1Medicare inpatient stays 339
- 2Charge ÷ paid, inpatient 4.05×
- 3Rank in IL (highest ratio = 1) 54 of 106
- 4CMS price-transparency actions 5
Inpatient stays
For the 17 DRGs that can be compared with the national average, Holy Cross Hospital charged more than the national average in 3 (18%). 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 | 58 | $46,839 | -17% | $12,206 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 38 | $74,894 | -17% | $17,947 |
| 885 Psychoses | 37 | $31,641 | -28% | $12,992 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $59,223 | -1% | $11,693 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $67,630 | -4% | $14,734 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $61,464 | +21% | $10,497 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 17 | $20,943 | -44% | $8,645 |
| 312 Syncope and Collapse | 15 | $35,880 | -21% | $8,809 |
| 313 Chest Pain | 15 | $33,461 | -16% | $8,400 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $38,810 | -36% | $12,367 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $33,680 | -9% | $8,326 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $65,804 | +14% | $13,172 |
| 682 Renal Failure with MCC | 12 | $49,819 | -24% | $13,236 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $51,501 | 0% | $11,066 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $103,131 | -24% | $23,254 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $81,221 | +7% | $15,953 |
| 638 Diabetes with CC | 11 | $38,375 | -8% | $8,879 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 106 | $22,904 | $2,522 |
| Level 3 Vascular Procedures | 12 | $15,626 | $3,026 |
Against the Illinois average
For Heart Failure and Shock with MCC (DRG 291), Holy Cross Hospital charged $46,839 on average, 1% more than the Illinois average of $46,293, and was paid $12,206 against a state average of $11,813. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Holy Cross Hospital charged $74,894 on average, 1% more than the Illinois average of $73,987, and was paid $17,947 against a state average of $17,651. For Psychoses (DRG 885), Holy Cross Hospital charged $31,641 on average, 2% more than the Illinois average of $30,984, and was paid $12,992 against a state average of $12,483. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Holy Cross Hospital charged $59,223 on average, 21% more than the Illinois average of $49,081, and was paid $11,693 against a state average of $11,857. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,904 was 7% above the state average of $21,498. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $15,626 was 21% below the state average of $19,664.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Holy Cross Hospital in Chicago, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 154)
- CAP Request — 2021-10-27 (CMS case 154)
- Closure Notice — 2023-05-26 (CMS case 154)
- Warning Notice — 2025-09-23 (CMS case 6686)
- Closure Notice — 2025-12-15 (CMS case 6686)
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.