Palos Community Hospital: charges and Medicare payments

Palos Community Hospital reported 6,789 Medicare inpatient stays across 150 DRGs in 2024. Across them it charged 4.73 times what it was paid — among the higher ratios in Illinois, number 30 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: 559 stays at an average charge of $63,604, 30% below the national average. It also billed 3,956 outpatient services, charging 8.26 times what Medicare paid.

1Medicare inpatient stays 6,789
2Charge ÷ paid, inpatient 4.73×
3Rank in IL (highest ratio = 1) 30 of 106
4CMS price-transparency actions 0

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

Inpatient stays

For the 150 DRGs that can be compared with the national average, Palos Community Hospital charged more than the national average in 5 (3%). 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	559	$63,604	-30%	$14,279
291 Heart Failure and Shock with MCC	450	$38,457	-32%	$8,909
177 Respiratory Infections and Inflammations with MCC	304	$54,895	-22%	$11,261
378 Gastrointestinal Hemorrhage with CC	139	$37,438	-23%	$6,945
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	129	$31,712	-21%	$5,766
690 Kidney and Urinary Tract Infections without MCC	126	$28,476	-25%	$5,563
683 Renal Failure with CC	121	$30,956	-24%	$6,272
193 Simple Pneumonia and Pleurisy with MCC	120	$44,020	-26%	$8,908
682 Renal Failure with MCC	119	$47,487	-28%	$11,148
698 Other Kidney and Urinary Tract Diagnoses with MCC	114	$51,854	-29%	$11,908
481 Hip and Femur Procedures except Major Joint with CC	104	$83,869	-17%	$14,708
689 Kidney and Urinary Tract Infections with MCC	103	$34,791	-32%	$8,544
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	102	$35,357	-28%	$7,540
280 Acute Myocardial Infarction, Discharged Alive with MCC	97	$52,285	-31%	$11,097
190 Chronic Obstructive Pulmonary Disease with MCC	96	$40,246	-20%	$7,699
603 Cellulitis without MCC	96	$24,985	-33%	$6,828
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	94	$41,589	-31%	$9,473
853 Infectious and Parasitic Diseases with O.R. Procedures with...	94	$156,242	-32%	$34,253
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	85	$73,150	-27%	$13,031
178 Respiratory Infections and Inflammations with CC	82	$37,712	-17%	$7,922
309 Cardiac Arrhythmia and Conduction Disorders with CC	81	$25,952	-28%	$5,741
377 Gastrointestinal Hemorrhage with MCC	79	$63,733	-25%	$12,998
543 Pathological Fractures and Musculoskeletal and Connective...	74	$31,330	-36%	$7,332
189 Pulmonary Edema and Respiratory Failure	73	$42,792	-26%	$8,428
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	72	$47,449	-15%	$8,406
552 Medical Back Problems without MCC	68	$32,601	-33%	$6,884
308 Cardiac Arrhythmia and Conduction Disorders with MCC	67	$41,667	-26%	$8,449
274 Percutaneous and Other Intracardiac Procedures without MCC	64	$82,493	-47%	$24,426
194 Simple Pneumonia and Pleurisy with CC	63	$28,906	-25%	$6,188
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	60	$28,218	-24%	$6,068
312 Syncope and Collapse	55	$32,612	-28%	$5,931
812 Red Blood Cell Disorders without MCC	54	$35,301	-20%	$6,834
330 Major Small and Large Bowel Procedures with CC	53	$136,135	+14%	$19,969
202 Bronchitis and Asthma with CC/MCC	50	$28,467	-38%	$7,509
699 Other Kidney and Urinary Tract Diagnoses with CC	50	$28,597	-40%	$8,389
389 Gastrointestinal Obstruction with CC	49	$30,887	-21%	$6,841
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	48	$24,288	-15%	$3,812
470 Major Hip and Knee Joint Replacement or Reattachment of...	44	$82,831	-11%	$14,480
191 Chronic Obstructive Pulmonary Disease with CC	43	$32,609	-18%	$5,942
286 Circulatory Disorders except AMI, with Cardiac...	43	$74,170	-34%	$16,279
480 Hip and Femur Procedures except Major Joint with MCC	43	$107,901	-22%	$21,446
329 Major Small and Large Bowel Procedures with MCC	42	$183,445	-15%	$35,700
393 Other Digestive System Diagnoses with MCC	42	$53,375	-30%	$12,560
287 Circulatory Disorders except AMI, with Cardiac...	40	$50,010	-22%	$8,655
101 Seizures without MCC	39	$39,475	-19%	$6,146
300 Peripheral Vascular Disorders with CC	39	$29,782	-40%	$7,406
394 Other Digestive System Diagnoses with CC	39	$30,791	-35%	$6,397
057 Degenerative Nervous System Disorders without MCC	37	$39,481	-30%	$10,835
299 Peripheral Vascular Disorders with MCC	37	$45,175	-40%	$10,739
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	37	$37,176	-39%	$12,425
638 Diabetes with CC	37	$24,679	-41%	$6,522
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	36	$58,560	-10%	$9,604
314 Other Circulatory System Diagnoses with MCC	36	$67,514	-29%	$17,305
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	36	$91,022	-11%	$17,241
322 Percutaneous Cardiovascular Procedures with Intraluminal...	34	$75,551	-34%	$13,444
418 Laparoscopic Cholecystectomy without C.D.E. with CC	34	$84,463	-9%	$11,932
637 Diabetes with MCC	34	$37,308	-44%	$9,424
305 Hypertension without MCC	32	$31,968	-20%	$6,015
432 Cirrhosis and Alcoholic Hepatitis with MCC	32	$61,688	-36%	$14,934
542 Pathological Fractures and Musculoskeletal and Connective...	32	$47,784	-40%	$11,674

Showing the 60 most frequent of 150 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,257	$20,928	$2,564
Level 1 Endovascular Procedures	257	$24,940	$3,064
Level 2 Excision/ Biopsy/ Incision and Drainage	240	$13,283	$1,420
Level 3 Vascular Procedures	196	$19,168	$3,026
Level 1 Laparoscopy and Related Services	172	$47,201	$5,402
Level 4 Urology and Related Services	152	$26,650	$3,310
Level 3 Excision/ Biopsy/ Incision and Drainage	138	$28,398	$2,616
Level 3 Electrophysiologic Procedures	127	$103,876	$22,162
Level 5 Urology and Related Services	104	$37,963	$4,913
Level 2 Upper GI Procedures	103	$13,605	$1,792
Level 5 Airway Endoscopy	99	$63,215	$6,498
Level 2 Vascular Procedures	82	$8,609	$1,511
Level 2 Musculoskeletal Procedures	79	$11,083	$1,491
Level 4 Musculoskeletal Procedures	75	$50,701	$6,792
Level 5 Musculoskeletal Procedures	75	$87,318	$12,333
Level 3 Urology and Related Services	70	$13,014	$1,934
Level 3 Musculoskeletal Procedures	69	$26,378	$3,002
Level 3 Endovascular Procedures	66	$50,451	$10,301
Level 3 Airway Endoscopy	61	$16,157	$1,611
Level 4 Airway Endoscopy	56	$28,686	$3,454
Level 2 Laparoscopy and Related Services	48	$67,258	$9,766
Level 4 Gynecologic Procedures	45	$25,153	$2,968
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	43	$18,602	$3,285
Level 4 Vascular Procedures	33	$39,975	$5,217
Level 4 Pacemaker and Similar Procedures	32	$61,726	$18,457

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Palos Community Hospital charged $63,604 on average, 14% less than the Illinois average of $73,987, and was paid $14,279 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Palos Community Hospital charged $38,457 on average, 17% less than the Illinois average of $46,293, and was paid $8,909 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Palos Community Hospital charged $54,895 on average, 8% less than the Illinois average of $59,769, and was paid $11,261 against a state average of $14,404. For Gastrointestinal Hemorrhage with CC (DRG 378), Palos Community Hospital charged $37,438 on average, 11% less than the Illinois average of $42,137, and was paid $6,945 against a state average of $9,363. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,928 was 3% below the state average of $21,498. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,940 was 0% below the state average of $25,004. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,283 was 12% above the state average of $11,818. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $19,168 was 3% below the state average of $19,664.

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.