Illinois / Mc Donough District Hospital
CMS certification 140089 · Macomb, IL · 2 entries in CMS's price-transparency list
Mc Donough District Hospital: charges and Medicare payments
Mc Donough District Hospital reported 176 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 2.13 times what it was paid — among the lower ratios in Illinois, number 100 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: 56 stays at an average charge of $37,928, 58% below the national average. It also billed 397 outpatient services, charging 6.6 times what Medicare paid.
- 1Medicare inpatient stays 176
- 2Charge ÷ paid, inpatient 2.13×
- 3Rank in IL (highest ratio = 1) 100 of 106
- 4CMS price-transparency actions 2
Inpatient stays
For the 7 DRGs that can be compared with the national average, Mc Donough District Hospital 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 | 56 | $37,928 | -58% | $19,462 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $28,944 | -52% | $12,448 |
| 291 Heart Failure and Shock with MCC | 21 | $27,998 | -50% | $11,995 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $19,321 | -49% | $7,961 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $25,431 | -50% | $11,010 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $22,630 | -54% | $9,755 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $29,367 | -58% | $15,485 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 241 | $10,572 | $2,307 |
| Comprehensive Observation Services | 82 | $17,937 | $2,709 |
| Level 2 Upper GI Procedures | 26 | $9,349 | $1,883 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $9,814 | $1,605 |
| Level 3 Urology and Related Services | 14 | $9,047 | $2,016 |
| Level 2 Vascular Procedures | 13 | $13,759 | $1,463 |
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mc Donough District Hospital charged $37,928 on average, 49% less than the Illinois average of $73,987, and was paid $19,462 against a state average of $17,651. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mc Donough District Hospital charged $28,944 on average, 41% less than the Illinois average of $49,081, and was paid $12,448 against a state average of $11,857. For Heart Failure and Shock with MCC (DRG 291), Mc Donough District Hospital charged $27,998 on average, 40% less than the Illinois average of $46,293, and was paid $11,995 against a state average of $11,813. For Kidney and Urinary Tract Infections without MCC (DRG 690), Mc Donough District Hospital charged $19,321 on average, 38% less than the Illinois average of $30,972, and was paid $7,961 against a state average of $7,470. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,572 was 29% below the state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,937 was 17% below the state average of $21,498. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,349 was 32% below the state average of $13,666. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,814 was 17% below the state average of $11,818.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mc Donough District Hospital in Macomb, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-03-11 (CMS case 7240)
- Closure Notice — 2026-06-01 (CMS case 7240)
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.