Illinois / OSF Heart of Mary Medical Center
CMS certification 140113 · Urbana, IL · 2 entries in CMS's price-transparency list
OSF Heart of Mary Medical Center: charges and Medicare payments
OSF Heart of Mary Medical Center reported 312 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 4.41 times what it was paid — mid-range in Illinois, number 42 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 64 stays at an average charge of $29,424, 33% below the national average. It also billed 520 outpatient services, charging 7.88 times what Medicare paid.
- 1Medicare inpatient stays 312
- 2Charge ÷ paid, inpatient 4.41×
- 3Rank in IL (highest ratio = 1) 42 of 106
- 4CMS price-transparency actions 2
Inpatient stays
For the 12 DRGs that can be compared with the national average, OSF Heart of Mary Medical Center charged more than the national average in 2 (17%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 885 Psychoses | 64 | $29,424 | -33% | $10,350 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 50 | $68,266 | -24% | $19,952 |
| 291 Heart Failure and Shock with MCC | 48 | $40,798 | -28% | $9,638 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $60,100 | +1% | $10,069 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $49,486 | -35% | $13,194 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 20 | $250,098 | +13% | $42,211 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $111,314 | -3% | $13,735 |
| 177 Respiratory Infections and Inflammations with MCC | 16 | $45,984 | -35% | $13,179 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $79,470 | -29% | $19,564 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 13 | $58,357 | -9% | $12,075 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $122,143 | -25% | $21,195 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $35,486 | -37% | $14,488 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 104 | $21,190 | $2,137 |
| Comprehensive Observation Services | 86 | $19,357 | $2,530 |
| Level 1 Endovascular Procedures | 72 | $30,130 | $3,016 |
| Level 3 Electrophysiologic Procedures | 48 | $110,853 | $21,049 |
| Level 2 Intraocular Procedures | 39 | $34,635 | $3,609 |
| Level 3 Endovascular Procedures | 36 | $71,351 | $10,158 |
| Level 3 Intraocular Procedures | 24 | $33,137 | $4,830 |
| Level 3 Pacemaker and Similar Procedures | 22 | $40,425 | $9,861 |
| Level 4 Pacemaker and Similar Procedures | 21 | $91,195 | $17,189 |
| Level 2 Endovascular Procedures | 18 | $44,617 | $5,282 |
| Level 3 Vascular Procedures | 15 | $24,787 | $2,946 |
| Level 3 Musculoskeletal Procedures | 12 | $32,638 | $2,742 |
| Level 2 Pacemaker and Similar Procedures | 12 | $37,885 | $7,851 |
| Level 2 Upper GI Procedures | 11 | $20,293 | $1,758 |
Against the Illinois average
For Psychoses (DRG 885), OSF Heart of Mary Medical Center charged $29,424 on average, 5% less than the Illinois average of $30,984, and was paid $10,350 against a state average of $12,483. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), OSF Heart of Mary Medical Center charged $68,266 on average, 8% less than the Illinois average of $73,987, and was paid $19,952 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), OSF Heart of Mary Medical Center charged $40,798 on average, 12% less than the Illinois average of $46,293, and was paid $9,638 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), OSF Heart of Mary Medical Center charged $60,100 on average, 22% more than the Illinois average of $49,081, and was paid $10,069 against a state average of $11,857. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $21,190 was 42% above the state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,357 was 10% below the state average of $21,498. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,130 was 21% above the state average of $25,004. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $110,853 was 17% below the state average of $133,114.
Price-transparency record
CMS's enforcement list records these actions for a hospital named OSF Heart of Mary Medical Center in Urbana, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-08-16 (CMS case 1240)
- Closure Notice — 2024-03-20 (CMS case 1240)
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.