Illinois / Presence Mercy Medical Center
CMS certification 140174 · Aurora, IL · 1 entry in CMS's price-transparency list
Presence Mercy Medical Center: charges and Medicare payments
Presence Mercy Medical Center reported 817 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 6.45 times what it was paid — among the higher ratios in Illinois, number 5 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: 173 stays at an average charge of $93,770, 4% above the national average. It also billed 367 outpatient services, charging 12.05 times what Medicare paid.
- 1Medicare inpatient stays 817
- 2Charge ÷ paid, inpatient 6.45×
- 3Rank in IL (highest ratio = 1) 5 of 106
- 4CMS price-transparency actions 1
Inpatient stays
For the 30 DRGs that can be compared with the national average, Presence Mercy Medical Center charged more than the national average in 27 (90%). 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 | 173 | $93,770 | +4% | $15,558 |
| 291 Heart Failure and Shock with MCC | 76 | $75,834 | +35% | $10,887 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $85,169 | +21% | $13,359 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $70,942 | +19% | $11,317 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 37 | $58,482 | -20% | $12,621 |
| 689 Kidney and Urinary Tract Infections with MCC | 33 | $61,543 | +20% | $9,934 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $240,902 | +5% | $35,236 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $98,922 | +30% | $13,237 |
| 682 Renal Failure with MCC | 25 | $82,612 | +25% | $12,199 |
| 189 Pulmonary Edema and Respiratory Failure | 23 | $64,045 | +11% | $16,462 |
| 683 Renal Failure with CC | 23 | $48,747 | +20% | $8,068 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $130,215 | +29% | $16,526 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $94,716 | +11% | $14,291 |
| 811 Red Blood Cell Disorders with MCC | 20 | $75,524 | +11% | $11,832 |
| 069 Transient Ischemia without Thrombolytic | 16 | $57,436 | +14% | $7,344 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $61,622 | +2% | $11,206 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $61,855 | +64% | $7,387 |
| 305 Hypertension without MCC | 15 | $49,366 | +23% | $6,992 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $51,410 | +42% | $9,079 |
| 312 Syncope and Collapse | 15 | $45,541 | 0% | $7,835 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $52,820 | +8% | $8,674 |
| 313 Chest Pain | 14 | $56,349 | +41% | $6,762 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $61,037 | +52% | $7,227 |
| 552 Medical Back Problems without MCC | 13 | $59,530 | +22% | $8,586 |
| 812 Red Blood Cell Disorders without MCC | 13 | $74,585 | +68% | $8,148 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $71,890 | +42% | $8,002 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $46,283 | -3% | $8,604 |
| 304 Hypertension with MCC | 11 | $61,832 | +8% | $9,964 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $173,407 | +6% | $22,738 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $64,045 | +32% | $8,719 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 95 | $33,554 | $2,674 |
| Level 5 Urology and Related Services | 59 | $48,386 | $4,918 |
| Level 1 Endovascular Procedures | 37 | $44,143 | $3,188 |
| Level 4 Urology and Related Services | 37 | $35,137 | $3,406 |
| Level 5 Musculoskeletal Procedures | 32 | $112,588 | $12,487 |
| Level 6 Urology and Related Services | 25 | $48,867 | $8,996 |
| Level 3 Endovascular Procedures | 19 | $94,105 | $10,736 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 18 | $24,883 | $1,584 |
| Level 4 Musculoskeletal Procedures | 17 | $59,922 | $6,989 |
| Level 1 Laparoscopy and Related Services | 15 | $73,047 | $5,637 |
| Level 3 Vascular Procedures | 13 | $28,157 | $3,114 |
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Presence Mercy Medical Center charged $93,770 on average, 27% more than the Illinois average of $73,987, and was paid $15,558 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Presence Mercy Medical Center charged $75,834 on average, 64% more than the Illinois average of $46,293, and was paid $10,887 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Presence Mercy Medical Center charged $85,169 on average, 42% more than the Illinois average of $59,769, and was paid $13,359 against a state average of $14,404. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Presence Mercy Medical Center charged $70,942 on average, 45% more than the Illinois average of $49,081, and was paid $11,317 against a state average of $11,857. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,554 was 56% above the state average of $21,498. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $48,386 was 43% above the state average of $33,825. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $44,143 was 77% above the state average of $25,004. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $35,137 was 48% above the state average of $23,744.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Presence Mercy Medical Center in Aurora, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Administrative Closure — 2025-06-24 (CMS case 3840)
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.