Illinois / OSF Sacred Heart Medical Center

CMS certification 140093 · Danville, IL

OSF Sacred Heart Medical Center: charges and Medicare payments

OSF Sacred Heart Medical Center reported 423 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 4.07 times what it was paid — mid-range in Illinois, number 53 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: 93 stays at an average charge of $56,643, 37% below the national average. It also billed 415 outpatient services, charging 10.31 times what Medicare paid.

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  1. 1Medicare inpatient stays 423
  2. 2Charge ÷ paid, inpatient 4.07×
  3. 3Rank in IL (highest ratio = 1) 53 of 106
  4. 4CMS price-transparency actions 0
DRG 871$56,643DRG 291$40,233DRG 193$54,155DRG 177$39,928DRG 190$37,618DRG 683$29,340DRG 689$44,242DRG 280$39,096DRG 682$40,412DRG 690$31,191
Average charge per stay at OSF Sacred Heart Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 16 DRGs that can be compared with the national average, OSF Sacred Heart Medical Center charged more than the national average in 0 (0%). 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 MCC93$56,643-37%$14,843
291 Heart Failure and Shock with MCC71$40,233-29%$9,400
193 Simple Pneumonia and Pleurisy with MCC52$54,155-9%$12,392
177 Respiratory Infections and Inflammations with MCC26$39,928-43%$13,819
190 Chronic Obstructive Pulmonary Disease with MCC25$37,618-26%$9,393
683 Renal Failure with CC19$29,340-28%$6,985
689 Kidney and Urinary Tract Infections with MCC19$44,242-14%$8,781
280 Acute Myocardial Infarction, Discharged Alive with MCC15$39,096-48%$10,235
682 Renal Failure with MCC15$40,412-39%$10,747
690 Kidney and Urinary Tract Infections without MCC15$31,191-18%$8,227
638 Diabetes with CC14$37,655-10%$6,640
189 Pulmonary Edema and Respiratory Failure13$44,947-22%$9,199
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...12$33,754-16%$7,136
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...12$28,718-23%$5,817
064 Intracranial Hemorrhage or Cerebral Infarction with MCC11$56,843-43%$12,179
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC11$33,467-32%$8,686

Outpatient services

Service (APC)ServicesAvg chargeMedicare allowed
Level 1 Intraocular Procedures245$19,041$2,112
Comprehensive Observation Services103$19,216$2,510
Level 2 Excision/ Biopsy/ Incision and Drainage30$8,670$1,499
Level 3 Intraocular Procedures19$31,427$4,830
Level 2 Intraocular Procedures18$27,201$3,602

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), OSF Sacred Heart Medical Center charged $56,643 on average, 23% less than the Illinois average of $73,987, and was paid $14,843 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), OSF Sacred Heart Medical Center charged $40,233 on average, 13% less than the Illinois average of $46,293, and was paid $9,400 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), OSF Sacred Heart Medical Center charged $54,155 on average, 10% more than the Illinois average of $49,081, and was paid $12,392 against a state average of $11,857. For Respiratory Infections and Inflammations with MCC (DRG 177), OSF Sacred Heart Medical Center charged $39,928 on average, 33% less than the Illinois average of $59,769, and was paid $13,819 against a state average of $14,404. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $19,041 was 28% above the state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,216 was 11% below the state average of $21,498. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,670 was 27% below the state average of $11,818. For Level 3 Intraocular Procedures (outpatient APC 5493), its average charge of $31,427 was 5% below the state average of $32,994.

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.