Northshore University Healthsystem Evanston Hosp: charges and Medicare payments

Northshore University Healthsystem Evanston Hosp reported 12,535 Medicare inpatient stays across 231 DRGs in 2024. Across them it charged 3.81 times what it was paid — mid-range in Illinois, number 64 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: 950 stays at an average charge of $64,673, 28% below the national average. It also billed 17,502 outpatient services, charging 6.51 times what Medicare paid.

1Medicare inpatient stays 12,535
2Charge ÷ paid, inpatient 3.81×
3Rank in IL (highest ratio = 1) 64 of 106
4CMS price-transparency actions 0

Average charge per stay at Northshore University Healthsystem Evanston Hosp, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 231 DRGs that can be compared with the national average, Northshore University Healthsystem Evanston Hosp charged more than the national average in 2 (1%). 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	950	$64,673	-28%	$17,141
291 Heart Failure and Shock with MCC	428	$39,208	-30%	$11,684
177 Respiratory Infections and Inflammations with MCC	419	$45,833	-35%	$14,433
470 Major Hip and Knee Joint Replacement or Reattachment of...	366	$67,089	-28%	$16,169
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	231	$26,023	-35%	$7,370
481 Hip and Femur Procedures except Major Joint with CC	224	$66,274	-34%	$18,177
690 Kidney and Urinary Tract Infections without MCC	220	$26,520	-30%	$7,546
280 Acute Myocardial Infarction, Discharged Alive with MCC	192	$57,696	-24%	$14,389
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	190	$28,323	-24%	$7,363
378 Gastrointestinal Hemorrhage with CC	184	$32,757	-33%	$8,941
603 Cellulitis without MCC	178	$25,162	-33%	$8,052
683 Renal Failure with CC	177	$28,553	-30%	$8,375
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	177	$35,842	-27%	$9,840
193 Simple Pneumonia and Pleurisy with MCC	176	$43,491	-27%	$11,822
267 Endovascular Cardiac Valve Replacement and Supplement...	173	$229,879	+4%	$39,919
689 Kidney and Urinary Tract Infections with MCC	173	$30,951	-40%	$10,354
178 Respiratory Infections and Inflammations with CC	169	$27,865	-39%	$8,840
189 Pulmonary Edema and Respiratory Failure	166	$45,974	-20%	$11,360
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	155	$36,431	-40%	$11,904
194 Simple Pneumonia and Pleurisy with CC	149	$28,151	-27%	$7,744
682 Renal Failure with MCC	140	$42,351	-36%	$12,877
698 Other Kidney and Urinary Tract Diagnoses with MCC	140	$52,727	-28%	$14,309
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	126	$48,287	-13%	$10,841
552 Medical Back Problems without MCC	105	$31,923	-35%	$8,991
853 Infectious and Parasitic Diseases with O.R. Procedures with...	104	$182,654	-20%	$47,961
308 Cardiac Arrhythmia and Conduction Disorders with MCC	101	$46,683	-18%	$11,503
309 Cardiac Arrhythmia and Conduction Disorders with CC	100	$29,862	-17%	$7,193
286 Circulatory Disorders except AMI, with Cardiac...	95	$85,285	-24%	$19,414
322 Percutaneous Cardiovascular Procedures with Intraluminal...	94	$104,724	-9%	$17,107
377 Gastrointestinal Hemorrhage with MCC	94	$59,915	-30%	$19,229
543 Pathological Fractures and Musculoskeletal and Connective...	93	$33,893	-31%	$9,676
312 Syncope and Collapse	92	$28,667	-37%	$8,197
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	90	$64,312	-36%	$17,137
699 Other Kidney and Urinary Tract Diagnoses with CC	86	$29,635	-38%	$9,255
321 Percutaneous Cardiovascular Procedures with Intraluminal...	85	$143,727	-12%	$27,423
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	84	$69,374	-32%	$18,209
057 Degenerative Nervous System Disorders without MCC	79	$30,066	-47%	$11,703
274 Percutaneous and Other Intracardiac Procedures without MCC	78	$117,410	-25%	$26,837
389 Gastrointestinal Obstruction with CC	74	$27,979	-28%	$7,764
394 Other Digestive System Diagnoses with CC	74	$28,869	-39%	$8,738
330 Major Small and Large Bowel Procedures with CC	72	$86,494	-27%	$23,124
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	72	$34,797	-43%	$11,693
314 Other Circulatory System Diagnoses with MCC	67	$67,204	-29%	$18,874
460 Spinal Fusion except Cervical without MCC	67	$118,565	-30%	$30,883
638 Diabetes with CC	67	$33,107	-21%	$9,517
165 Major Chest Procedures without CC/MCC	66	$73,860	-29%	$17,746
092 Other Disorders of Nervous System with CC	64	$34,280	-34%	$9,816
813 Coagulation Disorders	64	$44,501	-44%	$14,623
812 Red Blood Cell Disorders without MCC	63	$32,134	-28%	$9,099
025 Craniotomy and Endovascular Intracranial Procedures with MCC	61	$147,144	-36%	$35,981
329 Major Small and Large Bowel Procedures with MCC	61	$141,809	-34%	$38,493
281 Acute Myocardial Infarction, Discharged Alive with CC	59	$38,038	-25%	$8,375
287 Circulatory Disorders except AMI, with Cardiac...	59	$58,176	-9%	$10,744
480 Hip and Femur Procedures except Major Joint with MCC	59	$92,474	-33%	$25,650
393 Other Digestive System Diagnoses with MCC	58	$48,787	-36%	$15,265
390 Gastrointestinal Obstruction without CC/MCC	56	$21,998	-21%	$5,602
454 Combined Anterior and Posterior Spinal Fusion with CC	54	$163,140	-42%	$49,911
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	54	$167,743	-22%	$41,970
300 Peripheral Vascular Disorders with CC	53	$35,596	-28%	$9,680
306 Cardiac Congenital and Valvular Disorders with MCC	53	$50,679	-30%	$14,592

Showing the 60 most frequent of 231 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	2,412	$16,316	$2,162
Level 2 Urology and Related Services	1,908	$1,420	$634
Comprehensive Observation Services	1,713	$18,551	$2,530
Level 5 Musculoskeletal Procedures	1,343	$57,916	$12,119
Level 2 Excision/ Biopsy/ Incision and Drainage	946	$8,116	$1,501
Level 3 Urology and Related Services	926	$6,325	$1,896
Level 1 Laparoscopy and Related Services	493	$32,578	$5,339
Level 3 Vascular Procedures	482	$14,841	$2,957
Level 4 Musculoskeletal Procedures	477	$33,367	$6,605
Level 4 Urology and Related Services	466	$18,754	$3,249
Level 2 Upper GI Procedures	455	$11,471	$1,771
Level 3 Electrophysiologic Procedures	440	$107,018	$21,979
Level 1 Endovascular Procedures	383	$27,613	$3,025
Level 5 Urology and Related Services	283	$28,390	$4,815
Level 1 Nerve Procedures	276	$7,852	$1,791
Level 3 Endovascular Procedures	250	$69,176	$10,232
Level 2 Intraocular Procedures	249	$24,065	$3,733
Level 2 Laparoscopy and Related Services	241	$59,762	$9,551
Level 3 Excision/ Biopsy/ Incision and Drainage	231	$14,568	$1,923
Level 2 Endovascular Procedures	207	$29,565	$5,328
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	206	$14,824	$3,231
Level 3 Musculoskeletal Procedures	189	$19,605	$2,997
Level 1 Breast/Lymphatic Surgery and Related Procedures	186	$16,763	$3,548
Level 2 Vascular Procedures	182	$7,040	$1,485
Level 6 Musculoskeletal Procedures	180	$84,588	$17,289

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northshore University Healthsystem Evanston Hosp charged $64,673 on average, 13% less than the Illinois average of $73,987, and was paid $17,141 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Northshore University Healthsystem Evanston Hosp charged $39,208 on average, 15% less than the Illinois average of $46,293, and was paid $11,684 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Northshore University Healthsystem Evanston Hosp charged $45,833 on average, 23% less than the Illinois average of $59,769, and was paid $14,433 against a state average of $14,404. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Northshore University Healthsystem Evanston Hosp charged $67,089 on average, 16% less than the Illinois average of $79,993, and was paid $16,169 against a state average of $16,670. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $16,316 was 9% above the state average of $14,917. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,420 was 65% below the state average of $4,013. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,551 was 14% below the state average of $21,498. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,916 was 14% below 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.