Illinois / Presence St Marys Hospital
CMS certification 140155 · Kankakee, IL
Presence St Marys Hospital: charges and Medicare payments
Presence St Marys Hospital reported 668 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 6.84 times what it was paid — among the higher ratios in Illinois, number 3 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: 108 stays at an average charge of $106,158, 18% above the national average. It also billed 1,332 outpatient services, charging 8.86 times what Medicare paid.
- 1Medicare inpatient stays 668
- 2Charge ÷ paid, inpatient 6.84×
- 3Rank in IL (highest ratio = 1) 3 of 106
- 4CMS price-transparency actions 0
Inpatient stays
For the 24 DRGs that can be compared with the national average, Presence St Marys Hospital charged more than the national average in 20 (83%). 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 | 108 | $106,158 | +18% | $14,377 |
| 885 Psychoses | 69 | $34,983 | -21% | $10,550 |
| 291 Heart Failure and Shock with MCC | 67 | $79,705 | +41% | $9,912 |
| 177 Respiratory Infections and Inflammations with MCC | 45 | $92,245 | +31% | $14,697 |
| 193 Simple Pneumonia and Pleurisy with MCC | 45 | $89,504 | +50% | $10,311 |
| 683 Renal Failure with CC | 29 | $44,321 | +9% | $8,659 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $64,171 | +11% | $9,674 |
| 682 Renal Failure with MCC | 27 | $71,701 | +9% | $11,529 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $265,580 | +16% | $37,954 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $60,922 | +1% | $10,246 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $62,913 | +23% | $8,923 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $80,539 | +64% | $8,118 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $63,668 | +31% | $7,874 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $114,219 | +23% | $14,404 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $62,636 | -15% | $11,920 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $72,498 | +30% | $8,060 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $49,952 | +24% | $7,667 |
| 811 Red Blood Cell Disorders with MCC | 15 | $66,402 | -3% | $10,774 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $45,972 | +22% | $6,240 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $84,598 | -15% | $14,252 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $201,409 | +23% | $24,292 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $52,198 | +36% | $6,618 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $80,620 | +6% | $11,855 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $45,730 | +23% | $6,277 |
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Presence St Marys Hospital charged $106,158 on average, 43% more than the Illinois average of $73,987, and was paid $14,377 against a state average of $17,651. For Psychoses (DRG 885), Presence St Marys Hospital charged $34,983 on average, 13% more than the Illinois average of $30,984, and was paid $10,550 against a state average of $12,483. For Heart Failure and Shock with MCC (DRG 291), Presence St Marys Hospital charged $79,705 on average, 72% more than the Illinois average of $46,293, and was paid $9,912 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Presence St Marys Hospital charged $92,245 on average, 54% more than the Illinois average of $59,769, and was paid $14,697 against a state average of $14,404. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,966 was 21% above the state average of $21,498. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $92,581 was 38% above the state average of $67,146. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,633 was 15% above the state average of $25,004. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,607 was 5% above the state average of $14,917.
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.