Illinois / Loyola University Medical Center
CMS certification 140276 · Maywood, IL · 5 entries in CMS's price-transparency list
Loyola University Medical Center: charges and Medicare payments
Loyola University Medical Center reported 3,458 Medicare inpatient stays across 139 DRGs in 2024. Across them it charged 3.07 times what it was paid — among the lower ratios in Illinois, number 83 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: 160 stays at an average charge of $100,457, 11% above the national average. It also billed 5,743 outpatient services, charging 5.55 times what Medicare paid.
- 1Medicare inpatient stays 3,458
- 2Charge ÷ paid, inpatient 3.07×
- 3Rank in IL (highest ratio = 1) 83 of 106
- 4CMS price-transparency actions 5
Inpatient stays
For the 139 DRGs that can be compared with the national average, Loyola University Medical Center charged more than the national average in 47 (34%). 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 | 160 | $100,457 | +11% | $30,852 |
| 291 Heart Failure and Shock with MCC | 154 | $61,394 | +9% | $20,493 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 84 | $132,875 | -40% | $53,785 |
| 683 Renal Failure with CC | 68 | $40,765 | 0% | $14,180 |
| 378 Gastrointestinal Hemorrhage with CC | 60 | $50,533 | +4% | $16,683 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 58 | $49,478 | +4% | $15,889 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 55 | $142,397 | +27% | $34,802 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 54 | $76,522 | +4% | $23,938 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 53 | $78,792 | +31% | $22,084 |
| 177 Respiratory Infections and Inflammations with MCC | 47 | $81,944 | +16% | $27,344 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 47 | $55,312 | +13% | $17,318 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 46 | $263,233 | -34% | $92,512 |
| 377 Gastrointestinal Hemorrhage with MCC | 45 | $76,217 | -11% | $24,840 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 45 | $56,457 | -39% | $23,185 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $50,765 | +37% | $18,523 |
| 481 Hip and Femur Procedures except Major Joint with CC | 43 | $97,568 | -3% | $27,488 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 42 | $95,846 | -4% | $35,302 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $77,730 | +30% | $34,165 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 40 | $630,172 | -40% | $243,543 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $231,300 | +1% | $69,581 |
| 682 Renal Failure with MCC | 39 | $67,304 | +2% | $22,793 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 38 | $36,362 | +1% | $11,172 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $39,703 | -1% | $13,447 |
| 603 Cellulitis without MCC | 37 | $40,583 | +9% | $14,407 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 36 | $56,832 | +2% | $15,063 |
| 652 Kidney Transplant | 36 | $284,926 | -15% | $37,008 |
| 690 Kidney and Urinary Tract Infections without MCC | 35 | $36,024 | -5% | $11,724 |
| 205 Other Respiratory System Diagnoses with MCC | 34 | $94,144 | +7% | $26,340 |
| 552 Medical Back Problems without MCC | 34 | $50,312 | +3% | $14,399 |
| 189 Pulmonary Edema and Respiratory Failure | 33 | $58,874 | +2% | $17,759 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $58,733 | +14% | $17,736 |
| 330 Major Small and Large Bowel Procedures with CC | 31 | $100,479 | -16% | $33,171 |
| 314 Other Circulatory System Diagnoses with MCC | 30 | $74,709 | -21% | $27,620 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 29 | $187,379 | -19% | $55,269 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 29 | $88,951 | -43% | $35,021 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 29 | $206,868 | -4% | $65,978 |
| 300 Peripheral Vascular Disorders with CC | 28 | $50,854 | +3% | $19,638 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 27 | $59,266 | -7% | $17,457 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 27 | $83,069 | -34% | $31,307 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $47,693 | +24% | $13,463 |
| 270 Other Major Cardiovascular Procedures with MCC | 26 | $231,975 | -10% | $93,086 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $80,208 | -30% | $26,963 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 25 | $218,852 | -22% | $113,452 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 25 | $171,136 | -38% | $59,476 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $50,647 | -17% | $17,999 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $71,013 | -6% | $22,652 |
| 812 Red Blood Cell Disorders without MCC | 24 | $38,670 | -13% | $12,915 |
| 166 Other Respiratory System O.R. Procedures with MCC | 23 | $152,814 | -15% | $50,368 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $59,495 | +5% | $17,356 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $111,967 | -32% | $38,338 |
| 638 Diabetes with CC | 23 | $55,508 | +33% | $16,425 |
| 100 Seizures with MCC | 22 | $78,566 | -17% | $24,376 |
| 389 Gastrointestinal Obstruction with CC | 22 | $39,045 | 0% | $11,845 |
| 394 Other Digestive System Diagnoses with CC | 22 | $56,415 | +20% | $18,236 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 22 | $109,589 | +15% | $33,094 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 22 | $101,967 | +18% | $28,404 |
| 467 Revision of Hip or Knee Replacement with CC | 22 | $105,945 | -33% | $40,115 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 22 | $52,835 | -22% | $21,967 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $43,487 | -14% | $14,662 |
| 371 Major Gastrointestinal Disorders and Peritoneal Infections... | 21 | $86,095 | +10% | $35,212 |
Showing the 60 most frequent of 139 DRGs.
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Loyola University Medical Center charged $100,457 on average, 36% more than the Illinois average of $73,987, and was paid $30,852 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Loyola University Medical Center charged $61,394 on average, 33% more than the Illinois average of $46,293, and was paid $20,493 against a state average of $11,813. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Loyola University Medical Center charged $132,875 on average, 36% less than the Illinois average of $206,428, and was paid $53,785 against a state average of $42,296. For Renal Failure with CC (DRG 683), Loyola University Medical Center charged $40,765 on average, 18% more than the Illinois average of $34,485, and was paid $14,180 against a state average of $8,535. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,623 was 15% above the state average of $4,013. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,201 was 15% below the state average of $21,498. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,470 was 45% below the state average of $13,661. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,307 was 21% below the state average of $11,818.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Loyola University Medical Center in Maywood, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-04-03 (CMS case 1064)
- Closure Notice — 2023-07-12 (CMS case 1064)
- Warning Notice — 2025-03-24 (CMS case 3368)
- CAP Request — 2025-06-27 (CMS case 3368)
- Closure Notice — 2025-07-17 (CMS case 3368)
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.