Illinois / Macneal Hospital
CMS certification 140054 · Berwyn, IL · 3 entries in CMS's price-transparency list
Macneal Hospital: charges and Medicare payments
Macneal Hospital reported 911 Medicare inpatient stays across 41 DRGs in 2024. Across them it charged 4.09 times what it was paid — mid-range in Illinois, number 51 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: 89 stays at an average charge of $50,212, 11% below the national average. It also billed 1,205 outpatient services, charging 9.54 times what Medicare paid.
- 1Medicare inpatient stays 911
- 2Charge ÷ paid, inpatient 4.09×
- 3Rank in IL (highest ratio = 1) 51 of 106
- 4CMS price-transparency actions 3
Inpatient stays
For the 41 DRGs that can be compared with the national average, Macneal Hospital charged more than the national average in 27 (66%). 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 | 89 | $50,212 | -11% | $15,448 |
| 885 Psychoses | 88 | $25,833 | -41% | $16,075 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 87 | $112,058 | +24% | $24,736 |
| 690 Kidney and Urinary Tract Infections without MCC | 39 | $45,695 | +21% | $9,203 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $97,696 | +38% | $18,076 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $64,536 | +12% | $14,700 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $52,928 | -11% | $14,118 |
| 603 Cellulitis without MCC | 23 | $37,734 | +1% | $10,610 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $38,101 | +3% | $8,730 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $36,285 | -5% | $9,520 |
| 312 Syncope and Collapse | 21 | $46,803 | +3% | $9,312 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $47,909 | +19% | $14,175 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $45,699 | -24% | $12,632 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $64,173 | +25% | $15,898 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $61,266 | +10% | $10,662 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $87,220 | +2% | $18,546 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $50,791 | +5% | $10,837 |
| 638 Diabetes with CC | 18 | $48,935 | +17% | $12,805 |
| 683 Renal Failure with CC | 18 | $46,484 | +14% | $12,438 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $183,648 | -20% | $42,686 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $50,457 | 0% | $10,611 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $109,723 | +9% | $20,195 |
| 682 Renal Failure with MCC | 15 | $67,401 | +2% | $16,279 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $48,653 | -1% | $10,932 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $55,879 | +23% | $9,484 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $85,176 | +12% | $19,058 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $86,295 | -23% | $20,961 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $31,686 | -33% | $10,072 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $60,071 | +6% | $13,260 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $104,531 | +10% | $19,390 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $57,187 | -6% | $13,609 |
| 552 Medical Back Problems without MCC | 13 | $57,541 | +18% | $12,925 |
| 812 Red Blood Cell Disorders without MCC | 13 | $54,966 | +24% | $9,556 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $61,188 | +21% | $10,138 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $105,355 | -8% | $24,343 |
| 091 Other Disorders of Nervous System with MCC | 11 | $95,290 | +15% | $19,574 |
| 101 Seizures without MCC | 11 | $38,427 | -21% | $9,679 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 11 | $42,649 | +8% | $9,484 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $42,045 | +16% | $8,912 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 11 | $64,525 | +36% | $12,284 |
| 637 Diabetes with MCC | 11 | $58,218 | -12% | $14,485 |
Outpatient services
Against the Illinois average
For Heart Failure and Shock with MCC (DRG 291), Macneal Hospital charged $50,212 on average, 8% more than the Illinois average of $46,293, and was paid $15,448 against a state average of $11,813. For Psychoses (DRG 885), Macneal Hospital charged $25,833 on average, 17% less than the Illinois average of $30,984, and was paid $16,075 against a state average of $12,483. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Macneal Hospital charged $112,058 on average, 51% more than the Illinois average of $73,987, and was paid $24,736 against a state average of $17,651. For Kidney and Urinary Tract Infections without MCC (DRG 690), Macneal Hospital charged $45,695 on average, 48% more than the Illinois average of $30,972, and was paid $9,203 against a state average of $7,470. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,226 was 17% above the state average of $21,498. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,970 was 13% below the state average of $14,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $79,974 was 19% above the state average of $67,146. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,985 was 16% above the state average of $25,004.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Macneal Hospital in Berwyn, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-06-15 (CMS case 1651)
- Warning Notice — 2025-04-16 (CMS case 3830)
- Closure Notice — 2025-07-18 (CMS case 3830)
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.