Illinois / Presence Saints Mary and Elizabeth Medical Center
CMS certification 140180 · Chicago, IL
Presence Saints Mary and Elizabeth Medical Center: charges and Medicare payments
Presence Saints Mary and Elizabeth Medical Center reported 932 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 4.34 times what it was paid — mid-range in Illinois, number 47 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 885, Psychoses: 355 stays at an average charge of $41,173, 7% below the national average. It also billed 491 outpatient services, charging 9.29 times what Medicare paid.
- 1Medicare inpatient stays 932
- 2Charge ÷ paid, inpatient 4.34×
- 3Rank in IL (highest ratio = 1) 47 of 106
- 4CMS price-transparency actions 0
Inpatient stays
For the 23 DRGs that can be compared with the national average, Presence Saints Mary and Elizabeth Medical Center charged more than the national average in 16 (70%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 885 Psychoses | 355 | $41,173 | -7% | $13,860 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 113 | $99,007 | +10% | $18,245 |
| 291 Heart Failure and Shock with MCC | 63 | $72,858 | +29% | $13,985 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 50 | $114,719 | +51% | $21,292 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $93,340 | +32% | $21,277 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $212,339 | -7% | $54,134 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $46,921 | +24% | $8,598 |
| 683 Renal Failure with CC | 24 | $39,945 | -2% | $9,694 |
| 682 Renal Failure with MCC | 22 | $88,500 | +34% | $16,344 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $61,624 | +7% | $12,178 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $57,680 | +18% | $10,547 |
| 689 Kidney and Urinary Tract Infections with MCC | 20 | $67,206 | +31% | $11,176 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $35,179 | -12% | $8,137 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $71,338 | +19% | $11,660 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $41,604 | -31% | $12,643 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $93,760 | +28% | $18,099 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $50,520 | +36% | $8,360 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $59,089 | +6% | $10,000 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $88,918 | -5% | $17,301 |
| 812 Red Blood Cell Disorders without MCC | 13 | $54,735 | +23% | $9,462 |
| 637 Diabetes with MCC | 12 | $45,987 | -31% | $14,125 |
| 389 Gastrointestinal Obstruction with CC | 11 | $48,732 | +25% | $8,425 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $152,390 | +55% | $21,080 |
Outpatient services
Against the Illinois average
For Psychoses (DRG 885), Presence Saints Mary and Elizabeth Medical Center charged $41,173 on average, 33% more than the Illinois average of $30,984, and was paid $13,860 against a state average of $12,483. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Presence Saints Mary and Elizabeth Medical Center charged $99,007 on average, 34% more than the Illinois average of $73,987, and was paid $18,245 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Presence Saints Mary and Elizabeth Medical Center charged $72,858 on average, 57% more than the Illinois average of $46,293, and was paid $13,985 against a state average of $11,813. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Presence Saints Mary and Elizabeth Medical Center charged $114,719 on average, 78% more than the Illinois average of $64,281, and was paid $21,292 against a state average of $14,664. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,878 was 34% above the state average of $21,498. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $18,076 was 8% below the state average of $19,664. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,698 was 15% above the state average of $13,666. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $77,563 was 16% 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.