Illinois / Rush University Medical Center
CMS certification 140119 · Chicago, IL · 5 entries in CMS's price-transparency list
Rush University Medical Center: charges and Medicare payments
Rush University Medical Center reported 5,255 Medicare inpatient stays across 178 DRGs in 2024. Across them it charged 2.55 times what it was paid — among the lower ratios in Illinois, number 96 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: 221 stays at an average charge of $73,075, 19% below the national average. It also billed 7,117 outpatient services, charging 6.3 times what Medicare paid.
- 1Medicare inpatient stays 5,255
- 2Charge ÷ paid, inpatient 2.55×
- 3Rank in IL (highest ratio = 1) 96 of 106
- 4CMS price-transparency actions 5
Inpatient stays
For the 178 DRGs that can be compared with the national average, Rush University Medical Center charged more than the national average in 7 (4%). 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 | 221 | $73,075 | -19% | $27,825 |
| 291 Heart Failure and Shock with MCC | 189 | $38,009 | -33% | $17,941 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 121 | $75,251 | -25% | $26,225 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 120 | $43,692 | -28% | $20,661 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 100 | $73,066 | -22% | $24,139 |
| 177 Respiratory Infections and Inflammations with MCC | 77 | $44,210 | -37% | $21,402 |
| 460 Spinal Fusion except Cervical without MCC | 74 | $111,268 | -35% | $45,383 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 71 | $175,904 | -20% | $55,914 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 69 | $41,989 | -43% | $21,320 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 66 | $121,816 | -47% | $54,339 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 64 | $31,279 | -34% | $13,994 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 61 | $175,208 | -23% | $78,844 |
| 683 Renal Failure with CC | 59 | $30,697 | -25% | $12,610 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 58 | $132,242 | -16% | $38,475 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 57 | $48,442 | -13% | $15,170 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 57 | $163,432 | -42% | $79,499 |
| 164 Major Chest Procedures with CC | 55 | $56,977 | -55% | $31,631 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $33,587 | -44% | $17,648 |
| 314 Other Circulatory System Diagnoses with MCC | 55 | $73,654 | -22% | $29,661 |
| 252 Other Vascular Procedures with MCC | 53 | $129,299 | -24% | $45,468 |
| 189 Pulmonary Edema and Respiratory Failure | 52 | $41,124 | -29% | $16,492 |
| 682 Renal Failure with MCC | 51 | $39,848 | -40% | $19,901 |
| 057 Degenerative Nervous System Disorders without MCC | 48 | $39,842 | -30% | $18,711 |
| 101 Seizures without MCC | 48 | $27,632 | -43% | $13,444 |
| 378 Gastrointestinal Hemorrhage with CC | 47 | $37,617 | -23% | $14,954 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 47 | $33,551 | -16% | $11,813 |
| 552 Medical Back Problems without MCC | 45 | $28,096 | -42% | $14,315 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 44 | $35,523 | -28% | $14,879 |
| 056 Degenerative Nervous System Disorders with MCC | 43 | $66,438 | -31% | $30,905 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 42 | $162,584 | -42% | $74,565 |
| 163 Major Chest Procedures with MCC | 41 | $106,894 | -49% | $55,191 |
| 472 Cervical Spinal Fusion with CC | 41 | $89,374 | -38% | $38,467 |
| 300 Peripheral Vascular Disorders with CC | 40 | $31,185 | -37% | $14,639 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 39 | $67,067 | -30% | $28,023 |
| 603 Cellulitis without MCC | 39 | $27,040 | -27% | $12,400 |
| 812 Red Blood Cell Disorders without MCC | 39 | $33,850 | -24% | $14,184 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 39 | $169,592 | -22% | $60,598 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 38 | $73,764 | -34% | $28,881 |
| 393 Other Digestive System Diagnoses with MCC | 38 | $47,690 | -38% | $21,701 |
| 467 Revision of Hip or Knee Replacement with CC | 38 | $137,549 | -13% | $41,050 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $45,669 | -25% | $20,258 |
| 457 Spinal Fusion except Cervical with Spinal Curvature,... | 37 | $211,363 | -27% | $70,196 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $22,201 | -40% | $11,094 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 37 | $33,432 | -51% | $17,621 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 36 | $22,020 | -39% | $10,511 |
| 312 Syncope and Collapse | 36 | $32,502 | -29% | $12,571 |
| 330 Major Small and Large Bowel Procedures with CC | 35 | $88,843 | -25% | $33,111 |
| 394 Other Digestive System Diagnoses with CC | 33 | $33,615 | -29% | $13,840 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $26,193 | -31% | $11,454 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 32 | $50,547 | -21% | $14,375 |
| 377 Gastrointestinal Hemorrhage with MCC | 32 | $90,395 | +6% | $33,592 |
| 389 Gastrointestinal Obstruction with CC | 32 | $31,515 | -19% | $12,577 |
| 054 Nervous System Neoplasms with MCC | 31 | $52,962 | -32% | $22,085 |
| 092 Other Disorders of Nervous System with CC | 31 | $39,046 | -24% | $15,685 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 31 | $75,398 | -26% | $26,837 |
| 811 Red Blood Cell Disorders with MCC | 31 | $54,830 | -20% | $25,115 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 30 | $231,947 | -19% | $70,962 |
| 652 Kidney Transplant | 30 | $250,371 | -26% | $44,135 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 29 | $74,712 | -1% | $22,858 |
| 165 Major Chest Procedures without CC/MCC | 28 | $51,460 | -50% | $23,259 |
Showing the 60 most frequent of 178 DRGs.
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Rush University Medical Center charged $73,075 on average, 1% less than the Illinois average of $73,987, and was paid $27,825 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Rush University Medical Center charged $38,009 on average, 18% less than the Illinois average of $46,293, and was paid $17,941 against a state average of $11,813. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Rush University Medical Center charged $75,251 on average, 7% less than the Illinois average of $80,739, and was paid $26,225 against a state average of $19,091. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Rush University Medical Center charged $43,692 on average, 7% less than the Illinois average of $46,822, and was paid $20,661 against a state average of $12,592. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,207 was 29% below the state average of $21,498. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,358 was 16% below the state average of $4,013. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,574 was 27% below the state average of $11,818. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $54,013 was 20% below the state average of $67,146.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Rush University Medical Center in Chicago, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-06 (CMS case 788)
- CAP Request — 2024-05-13 (CMS case 788)
- Closure Notice — 2024-06-24 (CMS case 788)
- Warning Notice — 2025-03-24 (CMS case 3295)
- Closure Notice — 2025-05-22 (CMS case 3295)
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.