Saint Anthony Medical Center: charges and Medicare payments

Saint Anthony Medical Center reported 2,802 Medicare inpatient stays across 86 DRGs in 2024. Across them it charged 4.57 times what it was paid — among the higher ratios in Illinois, number 35 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: 421 stays at an average charge of $77,441, 14% below the national average. It also billed 1,942 outpatient services, charging 6.2 times what Medicare paid.

1Medicare inpatient stays 2,802
2Charge ÷ paid, inpatient 4.57×
3Rank in IL (highest ratio = 1) 35 of 106
4CMS price-transparency actions 0

Average charge per stay at Saint Anthony Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 86 DRGs that can be compared with the national average, Saint Anthony Medical Center charged more than the national average in 13 (15%). 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	421	$77,441	-14%	$17,467
291 Heart Failure and Shock with MCC	166	$49,032	-13%	$11,507
177 Respiratory Infections and Inflammations with MCC	98	$63,338	-10%	$13,644
853 Infectious and Parasitic Diseases with O.R. Procedures with...	77	$205,642	-10%	$44,506
698 Other Kidney and Urinary Tract Diagnoses with MCC	65	$52,393	-29%	$16,157
280 Acute Myocardial Infarction, Discharged Alive with MCC	62	$68,439	-10%	$12,896
689 Kidney and Urinary Tract Infections with MCC	59	$39,294	-23%	$9,286
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	58	$45,620	-7%	$9,112
193 Simple Pneumonia and Pleurisy with MCC	55	$50,201	-16%	$12,347
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	54	$77,252	-23%	$15,432
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	54	$41,243	-26%	$11,496
481 Hip and Femur Procedures except Major Joint with CC	52	$94,218	-6%	$17,841
378 Gastrointestinal Hemorrhage with CC	50	$44,726	-8%	$10,096
470 Major Hip and Knee Joint Replacement or Reattachment of...	50	$72,863	-22%	$14,724
690 Kidney and Urinary Tract Infections without MCC	48	$31,184	-18%	$7,244
682 Renal Failure with MCC	45	$49,320	-25%	$13,125
377 Gastrointestinal Hemorrhage with MCC	41	$64,638	-24%	$13,437
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	40	$37,625	-6%	$7,340
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	39	$45,926	-24%	$10,124
389 Gastrointestinal Obstruction with CC	36	$32,671	-16%	$7,176
683 Renal Failure with CC	34	$32,432	-20%	$7,355
274 Percutaneous and Other Intracardiac Procedures without MCC	31	$198,630	+27%	$28,568
309 Cardiac Arrhythmia and Conduction Disorders with CC	31	$36,706	+2%	$6,241
312 Syncope and Collapse	30	$39,346	-14%	$8,012
480 Hip and Femur Procedures except Major Joint with MCC	30	$119,855	-14%	$26,873
552 Medical Back Problems without MCC	29	$39,778	-19%	$8,374
189 Pulmonary Edema and Respiratory Failure	28	$52,353	-9%	$11,496
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$47,138	-17%	$9,759
394 Other Digestive System Diagnoses with CC	28	$38,971	-17%	$7,698
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	28	$32,050	-14%	$6,915
393 Other Digestive System Diagnoses with MCC	26	$55,170	-28%	$12,918
603 Cellulitis without MCC	26	$28,812	-23%	$7,123
267 Endovascular Cardiac Valve Replacement and Supplement...	25	$244,234	+10%	$36,048
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	24	$74,096	-28%	$16,242
208 Respiratory System Diagnosis with Ventilator Support <=96...	23	$117,700	-13%	$20,457
314 Other Circulatory System Diagnoses with MCC	23	$81,431	-14%	$15,257
329 Major Small and Large Bowel Procedures with MCC	23	$203,128	-6%	$38,265
190 Chronic Obstructive Pulmonary Disease with MCC	22	$42,540	-16%	$10,365
322 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$112,026	-2%	$14,083
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	21	$68,266	+5%	$11,800
330 Major Small and Large Bowel Procedures with CC	21	$69,914	-41%	$17,342
467 Revision of Hip or Knee Replacement with CC	21	$106,945	-32%	$41,110
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	21	$119,759	+1%	$20,375
551 Medical Back Problems with MCC	21	$57,255	-27%	$16,347
281 Acute Myocardial Infarction, Discharged Alive with CC	20	$41,993	-17%	$9,823
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$62,518	+2%	$29,202
919 Complications of Treatment with MCC	20	$71,757	-19%	$15,745
637 Diabetes with MCC	19	$42,604	-36%	$11,259
435 Malignancy of Hepatobiliary System or Pancreas with MCC	18	$70,474	-25%	$15,039
444 Disorders of The Biliary Tract with MCC	18	$55,334	-34%	$13,016
445 Disorders of The Biliary Tract with CC	18	$51,000	-12%	$8,877
536 Fractures of Hip and Pelvis without MCC	18	$34,063	-10%	$6,821
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	18	$38,463	-10%	$7,321
602 Cellulitis with MCC	17	$47,178	-22%	$13,422
854 Infectious and Parasitic Diseases with O.R. Procedures with...	17	$64,611	-34%	$15,742
870 Septicemia or Severe Sepsis with MV >96 Hours	17	$290,319	-10%	$79,126
194 Simple Pneumonia and Pleurisy with CC	16	$35,773	-7%	$6,817
253 Other Vascular Procedures with CC	16	$114,678	-13%	$21,335
300 Peripheral Vascular Disorders with CC	16	$35,344	-28%	$8,427
417 Laparoscopic Cholecystectomy without C.D.E. with MCC	16	$80,506	-36%	$19,792

Showing the 60 most frequent of 86 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	206	$51,518	$12,619
Comprehensive Observation Services	191	$20,249	$2,608
Level 2 Excision/ Biopsy/ Incision and Drainage	174	$10,779	$1,561
Level 2 Upper GI Procedures	174	$12,904	$1,810
Level 1 Endovascular Procedures	135	$22,715	$3,141
Level 1 Intraocular Procedures	92	$11,403	$2,267
Level 3 Vascular Procedures	73	$18,371	$3,100
Level 1 Laparoscopy and Related Services	70	$27,123	$5,551
Level 4 Musculoskeletal Procedures	61	$39,342	$6,571
Level 3 Excision/ Biopsy/ Incision and Drainage	60	$20,690	$2,727
Level 4 Urology and Related Services	57	$16,436	$3,343
Level 6 Musculoskeletal Procedures	51	$84,701	$18,084
Level 3 Electrophysiologic Procedures	50	$95,269	$22,610
Level 3 Musculoskeletal Procedures	47	$15,671	$3,046
Level 5 Urology and Related Services	44	$21,008	$5,033
Level 3 Endovascular Procedures	38	$66,171	$10,450
Level 3 Pacemaker and Similar Procedures	38	$51,710	$10,148
Level 4 Vascular Procedures	31	$40,463	$5,345
Level 3 Urology and Related Services	31	$12,638	$1,930
Level 3 Lower GI Procedures	27	$14,351	$2,731
Level 2 Vascular Procedures	26	$8,544	$1,558
Level 2 Endovascular Procedures	25	$35,653	$5,559
Level 3 Upper GI Procedures	25	$22,616	$3,487
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	24	$21,974	$3,365
Level 4 Airway Endoscopy	22	$18,243	$3,642

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Saint Anthony Medical Center charged $77,441 on average, 5% more than the Illinois average of $73,987, and was paid $17,467 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Saint Anthony Medical Center charged $49,032 on average, 6% more than the Illinois average of $46,293, and was paid $11,507 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Saint Anthony Medical Center charged $63,338 on average, 6% more than the Illinois average of $59,769, and was paid $13,644 against a state average of $14,404. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Saint Anthony Medical Center charged $205,642 on average, 12% more than the Illinois average of $183,276, and was paid $44,506 against a state average of $45,582. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $51,518 was 23% below the state average of $67,146. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,249 was 6% below the state average of $21,498. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,779 was 9% below the state average of $11,818. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $12,904 was 6% below the state average of $13,666.

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.