Illinois / Memorial Medical Center

CMS certification 140148 · Springfield, IL

Memorial Medical Center: charges and Medicare payments

Memorial Medical Center reported 4,765 Medicare inpatient stays across 147 DRGs in 2024. Across them it charged 4.64 times what it was paid — among the higher ratios in Illinois, number 33 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: 358 stays at an average charge of $72,916, 19% below the national average. It also billed 4,137 outpatient services, charging 7.21 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 4,765
  2. 2Charge ÷ paid, inpatient 4.64×
  3. 3Rank in IL (highest ratio = 1) 33 of 106
  4. 4CMS price-transparency actions 0
DRG 871$72,916DRG 291$41,261DRG 872$39,630DRG 193$48,107DRG 065$43,676DRG 190$48,301DRG 177$60,805DRG 690$32,324DRG 194$39,726DRG 322$94,492
Average charge per stay at Memorial Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 147 DRGs that can be compared with the national average, Memorial Medical Center charged more than the national average in 11 (7%). 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 MCC358$72,916-19%$16,976
291 Heart Failure and Shock with MCC190$41,261-27%$12,469
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC121$39,630-19%$8,799
193 Simple Pneumonia and Pleurisy with MCC118$48,107-19%$11,421
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...108$43,676-22%$8,515
190 Chronic Obstructive Pulmonary Disease with MCC108$48,301-5%$9,672
177 Respiratory Infections and Inflammations with MCC102$60,805-14%$14,872
690 Kidney and Urinary Tract Infections without MCC92$32,324-15%$7,065
194 Simple Pneumonia and Pleurisy with CC83$39,726+4%$7,315
322 Percutaneous Cardiovascular Procedures with Intraluminal...74$94,492-18%$19,314
481 Hip and Femur Procedures except Major Joint with CC71$91,521-9%$17,035
280 Acute Myocardial Infarction, Discharged Alive with MCC70$57,206-25%$14,530
603 Cellulitis without MCC69$39,775+7%$8,895
683 Renal Failure with CC67$32,631-20%$7,703
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...66$28,936-28%$6,777
309 Cardiac Arrhythmia and Conduction Disorders with CC64$34,162-5%$6,947
378 Gastrointestinal Hemorrhage with CC58$44,882-8%$9,102
064 Intracranial Hemorrhage or Cerebral Infarction with MCC56$92,224-8%$17,619
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...56$32,464-12%$6,653
689 Kidney and Urinary Tract Infections with MCC54$44,343-14%$9,862
189 Pulmonary Edema and Respiratory Failure53$57,7110%$12,607
377 Gastrointestinal Hemorrhage with MCC51$68,916-19%$14,706
389 Gastrointestinal Obstruction with CC51$32,628-16%$7,400
853 Infectious and Parasitic Diseases with O.R. Procedures with...51$152,289-33%$41,072
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...49$47,408-21%$11,579
330 Major Small and Large Bowel Procedures with CC46$82,020-31%$20,299
308 Cardiac Arrhythmia and Conduction Disorders with MCC43$53,310-6%$10,721
321 Percutaneous Cardiovascular Procedures with Intraluminal...43$136,081-17%$24,938
165 Major Chest Procedures without CC/MCC42$75,366-27%$15,100
660 Kidney and Ureter Procedures for Non-Neoplasm with CC41$46,310-31%$11,217
274 Percutaneous and Other Intracardiac Procedures without MCC40$143,542-8%$25,789
287 Circulatory Disorders except AMI, with Cardiac...40$47,107-26%$9,823
267 Endovascular Cardiac Valve Replacement and Supplement...39$187,678-15%$38,667
638 Diabetes with CC39$42,653+2%$8,499
066 Intracranial Hemorrhage or Cerebral Infarction without...38$31,174-26%$6,326
460 Spinal Fusion except Cervical without MCC38$188,810+11%$31,273
312 Syncope and Collapse37$34,017-25%$8,843
331 Major Small and Large Bowel Procedures without CC/MCC37$69,879-19%$22,102
522 Hip Replacement with Principal Diagnosis of Hip Fracture...37$85,992-16%$16,925
698 Other Kidney and Urinary Tract Diagnoses with MCC37$56,244-23%$15,101
025 Craniotomy and Endovascular Intracranial Procedures with MCC35$193,639-16%$37,310
281 Acute Myocardial Infarction, Discharged Alive with CC35$41,342-18%$7,765
178 Respiratory Infections and Inflammations with CC34$43,231-5%$8,458
236 Coronary Bypass without Cardiac Catheterization without MCC33$183,153-13%$42,089
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC33$23,193-19%$5,509
552 Medical Back Problems without MCC33$46,867-4%$8,351
682 Renal Failure with MCC31$42,137-36%$12,227
191 Chronic Obstructive Pulmonary Disease with CC30$37,257-6%$8,154
812 Red Blood Cell Disorders without MCC30$35,772-19%$9,412
069 Transient Ischemia without Thrombolytic29$36,859-27%$6,789
164 Major Chest Procedures with CC29$84,825-33%$20,648
208 Respiratory System Diagnosis with Ventilator Support <=96...29$115,521-15%$26,605
253 Other Vascular Procedures with CC28$111,876-15%$20,601
286 Circulatory Disorders except AMI, with Cardiac...28$107,345-4%$21,259
811 Red Blood Cell Disorders with MCC27$63,794-6%$11,718
948 Signs and Symptoms without MCC27$26,328-31%$6,885
329 Major Small and Large Bowel Procedures with MCC26$174,955-19%$37,299
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...26$50,700-17%$10,839
390 Gastrointestinal Obstruction without CC/MCC25$21,553-23%$5,416
394 Other Digestive System Diagnoses with CC25$34,602-26%$8,481

Showing the 60 most frequent of 147 DRGs.

Outpatient services

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorial Medical Center charged $72,916 on average, 1% less than the Illinois average of $73,987, and was paid $16,976 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Memorial Medical Center charged $41,261 on average, 11% less than the Illinois average of $46,293, and was paid $12,469 against a state average of $11,813. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Memorial Medical Center charged $39,630 on average, 3% less than the Illinois average of $41,000, and was paid $8,799 against a state average of $9,886. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Memorial Medical Center charged $48,107 on average, 2% less than the Illinois average of $49,081, and was paid $11,421 against a state average of $11,857. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,981 was 1% above the state average of $11,818. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,489 was 22% below the state average of $25,004. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $15,964 was 19% below the state average of $19,664. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $67,540 was 1% above the state average of $67,146.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.