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.

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  1. 1Medicare inpatient stays 1,681
  2. 2Charge ÷ paid, inpatient 4.28×
  3. 3Rank in IL (highest ratio = 1) 48 of 106
  4. 4CMS price-transparency actions 2
DRG 871$63,096DRG 291$31,456DRG 189$43,618DRG 193$42,152DRG 309$23,269DRG 481$88,636DRG 280$54,139DRG 177$60,733DRG 308$40,482DRG 286$68,298
Average charge per stay at Memorial Hospital of Carbondale, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC201$63,096-30%$15,336
291 Heart Failure and Shock with MCC146$31,456-44%$9,960
189 Pulmonary Edema and Respiratory Failure79$43,618-24%$10,342
193 Simple Pneumonia and Pleurisy with MCC59$42,152-29%$10,376
309 Cardiac Arrhythmia and Conduction Disorders with CC58$23,269-36%$5,998
481 Hip and Femur Procedures except Major Joint with CC51$88,636-12%$15,981
280 Acute Myocardial Infarction, Discharged Alive with MCC50$54,139-29%$12,398
177 Respiratory Infections and Inflammations with MCC47$60,733-14%$14,247
308 Cardiac Arrhythmia and Conduction Disorders with MCC45$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 MCC34$40,548-17%$8,617
274 Percutaneous and Other Intracardiac Procedures without MCC32$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 CC30$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 CC29$42,429-13%$8,480
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC28$18,429-36%$6,430
377 Gastrointestinal Hemorrhage with MCC28$59,828-30%$13,753
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...28$37,710-37%$11,967
070 Other Cerebrovascular Disorders with MCC26$56,987-25%$12,814
683 Renal Failure with CC25$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 MCC22$58,521-41%$14,983
287 Circulatory Disorders except AMI, with Cardiac...22$41,248-35%$10,178
682 Renal Failure with MCC22$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/MCC17$35,252-19%$7,155
690 Kidney and Urinary Tract Infections without MCC17$22,983-39%$5,838
698 Other Kidney and Urinary Tract Diagnoses with MCC17$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 CC16$158,929+34%$19,231
252 Other Vascular Procedures with MCC15$127,870-25%$25,901
269 Aortic and Heart Assist Procedures except Pulsation Balloon...15$126,599-34%$31,090
312 Syncope and Collapse15$29,018-36%$7,023
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...15$34,251-15%$6,397
948 Signs and Symptoms without MCC15$28,170-26%$6,450
190 Chronic Obstructive Pulmonary Disease with MCC14$37,873-25%$8,864
194 Simple Pneumonia and Pleurisy with CC14$25,652-33%$7,283
305 Hypertension without MCC14$29,514-26%$6,142
637 Diabetes with MCC14$53,008-20%$11,446
092 Other Disorders of Nervous System with CC13$41,343-20%$7,968
253 Other Vascular Procedures with CC13$147,742+12%$23,476
480 Hip and Femur Procedures except Major Joint with MCC13$101,351-27%$22,001
603 Cellulitis without MCC13$26,202-30%$7,130
811 Red Blood Cell Disorders with MCC13$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 CC12$48,092-5%$8,497
091 Other Disorders of Nervous System with MCC12$46,420-44%$12,831
229 Other Cardiothoracic Procedures without MCC12$89,427-46%$28,437
314 Other Circulatory System Diagnoses with MCC12$39,250-59%$13,366
493 Lower Extremity and Humerus Procedures except Hip, Foot and...12$149,445+26%$42,529
638 Diabetes with CC12$28,871-31%$7,308
069 Transient Ischemia without Thrombolytic11$36,677-27%$7,592
313 Chest Pain11$23,339-42%$5,544
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...11$55,926-8%$10,189
460 Spinal Fusion except Cervical without MCC11$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:

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.