Illinois / Memorial Hospital of Carbondale
CMS certification 140164 · Carbondale, IL · 2 entries in CMS's price-transparency list
Memorial Hospital of Carbondale: charges and Medicare payments
Memorial Hospital of Carbondale reported 1,681 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 4.28 times what it was paid — mid-range in Illinois, number 48 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: 201 stays at an average charge of $63,096, 30% below the national average. It also billed 1,977 outpatient services, charging 9.15 times what Medicare paid.
- 1Medicare inpatient stays 1,681
- 2Charge ÷ paid, inpatient 4.28×
- 3Rank in IL (highest ratio = 1) 48 of 106
- 4CMS price-transparency actions 2
Inpatient stays
For the 59 DRGs that can be compared with the national average, Memorial Hospital of Carbondale charged more than the national average in 5 (8%). 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 | 201 | $63,096 | -30% | $15,336 |
| 291 Heart Failure and Shock with MCC | 146 | $31,456 | -44% | $9,960 |
| 189 Pulmonary Edema and Respiratory Failure | 79 | $43,618 | -24% | $10,342 |
| 193 Simple Pneumonia and Pleurisy with MCC | 59 | $42,152 | -29% | $10,376 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 58 | $23,269 | -36% | $5,998 |
| 481 Hip and Femur Procedures except Major Joint with CC | 51 | $88,636 | -12% | $15,981 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 50 | $54,139 | -29% | $12,398 |
| 177 Respiratory Infections and Inflammations with MCC | 47 | $60,733 | -14% | $14,247 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 45 | $40,482 | -29% | $9,970 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 37 | $68,298 | -39% | $16,529 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 34 | $40,548 | -17% | $8,617 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 32 | $98,050 | -37% | $24,157 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $92,911 | -19% | $13,486 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 30 | $47,341 | -15% | $10,206 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 30 | $33,049 | -35% | $9,425 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 30 | $171,015 | -25% | $39,474 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $42,429 | -13% | $8,480 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 28 | $18,429 | -36% | $6,430 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $59,828 | -30% | $13,753 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $37,710 | -37% | $11,967 |
| 070 Other Cerebrovascular Disorders with MCC | 26 | $56,987 | -25% | $12,814 |
| 683 Renal Failure with CC | 25 | $28,802 | -29% | $6,819 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 24 | $136,884 | -38% | $35,899 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $110,720 | +8% | $16,465 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $58,521 | -41% | $14,983 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 22 | $41,248 | -35% | $10,178 |
| 682 Renal Failure with MCC | 22 | $48,707 | -26% | $11,251 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $20,516 | -45% | $7,445 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $69,141 | -49% | $20,441 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 17 | $35,252 | -19% | $7,155 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $22,983 | -39% | $5,838 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $62,572 | -15% | $12,684 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $117,115 | -28% | $29,965 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $158,929 | +34% | $19,231 |
| 252 Other Vascular Procedures with MCC | 15 | $127,870 | -25% | $25,901 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 15 | $126,599 | -34% | $31,090 |
| 312 Syncope and Collapse | 15 | $29,018 | -36% | $7,023 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $34,251 | -15% | $6,397 |
| 948 Signs and Symptoms without MCC | 15 | $28,170 | -26% | $6,450 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $37,873 | -25% | $8,864 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $25,652 | -33% | $7,283 |
| 305 Hypertension without MCC | 14 | $29,514 | -26% | $6,142 |
| 637 Diabetes with MCC | 14 | $53,008 | -20% | $11,446 |
| 092 Other Disorders of Nervous System with CC | 13 | $41,343 | -20% | $7,968 |
| 253 Other Vascular Procedures with CC | 13 | $147,742 | +12% | $23,476 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $101,351 | -27% | $22,001 |
| 603 Cellulitis without MCC | 13 | $26,202 | -30% | $7,130 |
| 811 Red Blood Cell Disorders with MCC | 13 | $54,462 | -20% | $11,035 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 13 | $136,579 | -37% | $43,342 |
| 071 Other Cerebrovascular Disorders with CC | 12 | $48,092 | -5% | $8,497 |
| 091 Other Disorders of Nervous System with MCC | 12 | $46,420 | -44% | $12,831 |
| 229 Other Cardiothoracic Procedures without MCC | 12 | $89,427 | -46% | $28,437 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $39,250 | -59% | $13,366 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 12 | $149,445 | +26% | $42,529 |
| 638 Diabetes with CC | 12 | $28,871 | -31% | $7,308 |
| 069 Transient Ischemia without Thrombolytic | 11 | $36,677 | -27% | $7,592 |
| 313 Chest Pain | 11 | $23,339 | -42% | $5,544 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $55,926 | -8% | $10,189 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $211,443 | +24% | $43,309 |
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorial Hospital of Carbondale charged $63,096 on average, 15% less than the Illinois average of $73,987, and was paid $15,336 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Memorial Hospital of Carbondale charged $31,456 on average, 32% less than the Illinois average of $46,293, and was paid $9,960 against a state average of $11,813. For Pulmonary Edema and Respiratory Failure (DRG 189), Memorial Hospital of Carbondale charged $43,618 on average, 14% less than the Illinois average of $50,573, and was paid $10,342 against a state average of $11,480. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Memorial Hospital of Carbondale charged $42,152 on average, 14% less than the Illinois average of $49,081, and was paid $10,376 against a state average of $11,857. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,826 was 11% above the state average of $21,498. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,534 was 11% below the state average of $11,818. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,214 was 11% below the state average of $25,004. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $21,593 was 10% above the state average of $19,664.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Memorial Hospital of Carbondale in Carbondale, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-02-23 (CMS case 7084)
- Closure Notice — 2026-05-29 (CMS case 7084)
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.