Northwest Community Hospital 1: charges and Medicare payments

Northwest Community Hospital 1 reported 6,824 Medicare inpatient stays across 164 DRGs in 2024. Across them it charged 3.58 times what it was paid — mid-range in Illinois, number 69 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: 632 stays at an average charge of $44,755, 50% below the national average. It also billed 4,868 outpatient services, charging 5.87 times what Medicare paid.

1Medicare inpatient stays 6,824
2Charge ÷ paid, inpatient 3.58×
3Rank in IL (highest ratio = 1) 69 of 106
4CMS price-transparency actions 0

Average charge per stay at Northwest Community Hospital 1, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 164 DRGs that can be compared with the national average, Northwest Community Hospital 1 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	632	$44,755	-50%	$14,590
291 Heart Failure and Shock with MCC	305	$27,993	-50%	$9,298
470 Major Hip and Knee Joint Replacement or Reattachment of...	195	$62,337	-33%	$14,774
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	181	$22,563	-44%	$6,638
177 Respiratory Infections and Inflammations with MCC	167	$35,679	-49%	$11,774
193 Simple Pneumonia and Pleurisy with MCC	162	$31,623	-47%	$10,154
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	145	$27,576	-44%	$7,914
690 Kidney and Urinary Tract Infections without MCC	144	$18,608	-51%	$6,051
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	127	$19,245	-48%	$5,732
689 Kidney and Urinary Tract Infections with MCC	114	$24,085	-53%	$8,606
698 Other Kidney and Urinary Tract Diagnoses with MCC	112	$37,551	-49%	$12,063
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	104	$34,464	-38%	$7,524
683 Renal Failure with CC	103	$23,171	-43%	$6,834
189 Pulmonary Edema and Respiratory Failure	98	$34,382	-40%	$9,068
552 Medical Back Problems without MCC	97	$23,948	-51%	$7,418
603 Cellulitis without MCC	95	$18,926	-49%	$7,007
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	90	$27,808	-54%	$9,461
853 Infectious and Parasitic Diseases with O.R. Procedures with...	87	$102,705	-55%	$32,553
682 Renal Failure with MCC	80	$33,330	-49%	$10,714
394 Other Digestive System Diagnoses with CC	76	$24,399	-48%	$7,020
378 Gastrointestinal Hemorrhage with CC	74	$26,985	-44%	$7,497
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	73	$53,452	-46%	$13,426
699 Other Kidney and Urinary Tract Diagnoses with CC	72	$21,693	-54%	$7,506
481 Hip and Femur Procedures except Major Joint with CC	71	$58,021	-42%	$15,489
194 Simple Pneumonia and Pleurisy with CC	64	$23,095	-40%	$6,295
638 Diabetes with CC	59	$23,062	-45%	$6,779
274 Percutaneous and Other Intracardiac Procedures without MCC	58	$92,367	-41%	$23,092
057 Degenerative Nervous System Disorders without MCC	56	$22,991	-59%	$9,163
178 Respiratory Infections and Inflammations with CC	54	$22,838	-50%	$7,115
389 Gastrointestinal Obstruction with CC	54	$21,254	-45%	$6,256
267 Endovascular Cardiac Valve Replacement and Supplement...	50	$169,212	-24%	$34,594
393 Other Digestive System Diagnoses with MCC	49	$38,126	-50%	$12,458
812 Red Blood Cell Disorders without MCC	49	$25,053	-44%	$6,832
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	47	$28,693	-53%	$9,659
309 Cardiac Arrhythmia and Conduction Disorders with CC	46	$21,242	-41%	$5,620
312 Syncope and Collapse	46	$23,943	-47%	$6,499
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	46	$70,545	-31%	$16,997
811 Red Blood Cell Disorders with MCC	46	$31,000	-55%	$10,377
543 Pathological Fractures and Musculoskeletal and Connective...	44	$26,400	-46%	$7,931
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	43	$43,227	-34%	$10,861
377 Gastrointestinal Hemorrhage with MCC	42	$48,193	-44%	$13,085
330 Major Small and Large Bowel Procedures with CC	41	$58,550	-51%	$19,487
322 Percutaneous Cardiovascular Procedures with Intraluminal...	40	$102,302	-11%	$21,916
406 Pancreas, Liver and Shunt Procedures with CC	40	$77,751	-52%	$21,568
554 Bone Diseases and Arthropathies without MCC	40	$18,281	-52%	$6,191
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	40	$17,854	-58%	$6,542
202 Bronchitis and Asthma with CC/MCC	37	$26,209	-43%	$7,155
321 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$154,082	-6%	$32,551
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	35	$37,204	-45%	$9,931
480 Hip and Femur Procedures except Major Joint with MCC	34	$83,568	-40%	$20,719
644 Endocrine Disorders with CC	34	$26,376	-45%	$7,572
308 Cardiac Arrhythmia and Conduction Disorders with MCC	33	$35,472	-37%	$8,807
329 Major Small and Large Bowel Procedures with MCC	33	$84,321	-61%	$30,815
460 Spinal Fusion except Cervical without MCC	33	$118,613	-30%	$29,918
066 Intracranial Hemorrhage or Cerebral Infarction without...	32	$36,565	-14%	$7,082
854 Infectious and Parasitic Diseases with O.R. Procedures with...	32	$54,437	-45%	$14,222
023 Craniotomy with Major Device Implant or Acute Complex Cns...	31	$178,731	-36%	$38,691
191 Chronic Obstructive Pulmonary Disease with CC	31	$26,564	-33%	$7,351
286 Circulatory Disorders except AMI, with Cardiac...	31	$61,933	-45%	$17,622
287 Circulatory Disorders except AMI, with Cardiac...	31	$47,603	-25%	$8,926

Showing the 60 most frequent of 164 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,115	$13,193	$2,575
Level 2 Upper GI Procedures	359	$8,337	$1,796
Level 2 Excision/ Biopsy/ Incision and Drainage	352	$9,876	$1,530
Level 5 Musculoskeletal Procedures	304	$52,261	$12,370
Level 1 Laparoscopy and Related Services	164	$26,415	$5,333
Level 3 Vascular Procedures	151	$15,407	$2,978
Level 4 Urology and Related Services	145	$16,743	$3,292
Level 5 Urology and Related Services	145	$24,924	$4,869
Level 3 Urology and Related Services	137	$11,744	$1,934
Level 3 Airway Endoscopy	135	$4,970	$1,603
Level 2 Urology and Related Services	125	$3,063	$640
Level 2 Endovascular Procedures	119	$29,213	$5,390
Level 3 Lower GI Procedures	117	$8,581	$2,664
Level 3 Endovascular Procedures	116	$61,580	$10,435
Level 3 Electrophysiologic Procedures	109	$91,822	$22,490
Level 1 Endovascular Procedures	96	$25,785	$3,099
Level 2 Vascular Procedures	85	$5,862	$1,506
Level 4 Musculoskeletal Procedures	79	$36,952	$6,724
Level 4 Airway Endoscopy	74	$27,362	$3,555
Complex GI Procedures	72	$14,847	$5,314
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	70	$17,595	$3,247
Level 4 Vascular Procedures	67	$32,950	$5,158
Level 3 Pacemaker and Similar Procedures	65	$45,489	$10,130
Level 3 Upper GI Procedures	58	$11,107	$3,636
Level 5 Airway Endoscopy	57	$43,914	$6,498

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northwest Community Hospital 1 charged $44,755 on average, 40% less than the Illinois average of $73,987, and was paid $14,590 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Northwest Community Hospital 1 charged $27,993 on average, 40% less than the Illinois average of $46,293, and was paid $9,298 against a state average of $11,813. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Northwest Community Hospital 1 charged $62,337 on average, 22% less than the Illinois average of $79,993, and was paid $14,774 against a state average of $16,670. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Northwest Community Hospital 1 charged $22,563 on average, 31% less than the Illinois average of $32,877, and was paid $6,638 against a state average of $7,851. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,193 was 39% below the state average of $21,498. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,337 was 39% below the state average of $13,666. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,876 was 16% below the state average of $11,818. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $52,261 was 22% 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.