Illinois / Presence Saint Joseph Hospital - Chicago
CMS certification 140224 · Chicago, IL
Presence Saint Joseph Hospital - Chicago: charges and Medicare payments
Presence Saint Joseph Hospital - Chicago reported 822 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 3.58 times what it was paid — mid-range in Illinois, number 70 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 103, Headaches without MCC: 201 stays at an average charge of $62,670, 28% above the national average. It also billed 1,018 outpatient services, charging 8.82 times what Medicare paid.
- 1Medicare inpatient stays 822
- 2Charge ÷ paid, inpatient 3.58×
- 3Rank in IL (highest ratio = 1) 70 of 106
- 4CMS price-transparency actions 0
Inpatient stays
For the 29 DRGs that can be compared with the national average, Presence Saint Joseph Hospital - Chicago charged more than the national average in 5 (17%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 103 Headaches without MCC | 201 | $62,670 | +28% | $18,759 |
| 885 Psychoses | 92 | $29,610 | -33% | $15,646 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 63 | $80,057 | -11% | $19,833 |
| 291 Heart Failure and Shock with MCC | 52 | $55,877 | -1% | $14,049 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $72,661 | +3% | $17,627 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $72,498 | -4% | $16,608 |
| 682 Renal Failure with MCC | 28 | $46,250 | -30% | $15,078 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $36,556 | -9% | $8,421 |
| 683 Renal Failure with CC | 21 | $37,999 | -7% | $9,625 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 21 | $29,387 | -21% | $9,928 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $39,666 | +10% | $8,261 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $49,101 | -19% | $13,873 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $50,427 | -16% | $12,977 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $39,822 | -22% | $12,150 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $161,655 | -1% | $28,414 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $28,313 | -25% | $8,951 |
| 552 Medical Back Problems without MCC | 14 | $36,349 | -26% | $10,390 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $27,783 | -25% | $8,363 |
| 812 Red Blood Cell Disorders without MCC | 14 | $27,410 | -38% | $10,504 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $36,262 | -26% | $10,896 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $112,327 | -2% | $17,394 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $186,582 | -19% | $48,378 |
| 305 Hypertension without MCC | 12 | $31,331 | -22% | $7,240 |
| 603 Cellulitis without MCC | 12 | $27,334 | -27% | $9,558 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 12 | $28,308 | -17% | $16,473 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $36,405 | -20% | $10,348 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $71,442 | +26% | $13,347 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $76,684 | -10% | $18,309 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $83,235 | +8% | $17,599 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 481 | $12,458 | $2,263 |
| Comprehensive Observation Services | 100 | $24,541 | $2,662 |
| Level 1 Nerve Procedures | 48 | $10,306 | $1,878 |
| Level 5 Musculoskeletal Procedures | 44 | $86,682 | $12,528 |
| Level 3 Endovascular Procedures | 44 | $75,582 | $10,548 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 38 | $11,415 | $1,511 |
| Level 1 Laparoscopy and Related Services | 34 | $54,057 | $5,481 |
| Level 2 Intraocular Procedures | 34 | $29,918 | $3,862 |
| Level 1 Endovascular Procedures | 33 | $31,144 | $3,036 |
| Level 3 Urology and Related Services | 28 | $21,527 | $1,981 |
| Level 2 Upper GI Procedures | 26 | $13,653 | $1,851 |
| Level 3 Musculoskeletal Procedures | 24 | $25,932 | $3,148 |
| Level 3 Vascular Procedures | 23 | $15,418 | $3,100 |
| Level 4 Musculoskeletal Procedures | 20 | $50,340 | $6,681 |
| Level 5 Urology and Related Services | 19 | $44,232 | $5,033 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 11 | $33,291 | $2,764 |
| Level 4 Urology and Related Services | 11 | $32,779 | $3,391 |
Against the Illinois average
For Headaches without MCC (DRG 103), Presence Saint Joseph Hospital - Chicago charged $62,670 on average, 29% more than the Illinois average of $48,545, and was paid $18,759 against a state average of $13,210. For Psychoses (DRG 885), Presence Saint Joseph Hospital - Chicago charged $29,610 on average, 4% less than the Illinois average of $30,984, and was paid $15,646 against a state average of $12,483. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Presence Saint Joseph Hospital - Chicago charged $80,057 on average, 8% more than the Illinois average of $73,987, and was paid $19,833 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Presence Saint Joseph Hospital - Chicago charged $55,877 on average, 21% more than the Illinois average of $46,293, and was paid $14,049 against a state average of $11,813. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,458 was 16% below the state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,541 was 14% above the state average of $21,498. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $10,306 was 20% below the state average of $12,903. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $86,682 was 29% above 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.