Illinois / St Alexius Medical Center
CMS certification 140290 · Hoffman Estates, IL · 3 entries in CMS's price-transparency list
St Alexius Medical Center: charges and Medicare payments
St Alexius Medical Center reported 2,121 Medicare inpatient stays across 68 DRGs in 2024. Across them it charged 4.74 times what it was paid — among the higher ratios in Illinois, number 29 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: 274 stays at an average charge of $78,533, 13% below the national average. It also billed 2,149 outpatient services, charging 6.89 times what Medicare paid.
- 1Medicare inpatient stays 2,121
- 2Charge ÷ paid, inpatient 4.74×
- 3Rank in IL (highest ratio = 1) 29 of 106
- 4CMS price-transparency actions 3
Inpatient stays
For the 68 DRGs that can be compared with the national average, St Alexius Medical Center charged more than the national average in 5 (7%). 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 | 274 | $78,533 | -13% | $16,317 |
| 291 Heart Failure and Shock with MCC | 205 | $46,641 | -17% | $10,271 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 92 | $69,039 | -26% | $14,835 |
| 177 Respiratory Infections and Inflammations with MCC | 85 | $65,178 | -8% | $12,914 |
| 193 Simple Pneumonia and Pleurisy with MCC | 74 | $53,310 | -11% | $10,878 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 63 | $60,928 | -20% | $13,236 |
| 689 Kidney and Urinary Tract Infections with MCC | 51 | $44,679 | -13% | $9,361 |
| 690 Kidney and Urinary Tract Infections without MCC | 50 | $34,105 | -10% | $6,711 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 46 | $70,295 | -4% | $14,756 |
| 552 Medical Back Problems without MCC | 43 | $34,869 | -29% | $7,771 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $200,701 | -12% | $36,626 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $40,562 | -17% | $8,206 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 38 | $34,808 | -13% | $6,589 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $42,857 | -29% | $10,459 |
| 603 Cellulitis without MCC | 35 | $32,605 | -13% | $7,205 |
| 682 Renal Failure with MCC | 34 | $46,596 | -29% | $11,784 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $86,433 | -14% | $19,805 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $48,896 | -15% | $9,946 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $84,034 | -2% | $13,766 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $32,233 | -13% | $6,503 |
| 683 Renal Failure with CC | 26 | $38,509 | -5% | $8,000 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 25 | $75,999 | -24% | $14,364 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $47,277 | -23% | $10,453 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 24 | $33,424 | -30% | $8,053 |
| 305 Hypertension without MCC | 23 | $29,876 | -25% | $7,357 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $43,222 | -24% | $9,665 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $42,601 | -12% | $8,065 |
| 312 Syncope and Collapse | 22 | $31,733 | -30% | $7,698 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $58,121 | +4% | $11,109 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $44,004 | -13% | $9,193 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $31,457 | -18% | $6,822 |
| 202 Bronchitis and Asthma with CC/MCC | 20 | $35,815 | -22% | $7,834 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 19 | $61,567 | -36% | $16,656 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $81,154 | -21% | $16,590 |
| 314 Other Circulatory System Diagnoses with MCC | 18 | $94,113 | -1% | $16,543 |
| 812 Red Blood Cell Disorders without MCC | 18 | $46,711 | +5% | $9,899 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $32,976 | -9% | $6,243 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $107,068 | -7% | $24,882 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $120,211 | +1% | $19,124 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 17 | $114,659 | -17% | $20,640 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $84,999 | -24% | $18,207 |
| 393 Other Digestive System Diagnoses with MCC | 16 | $62,274 | -19% | $13,042 |
| 394 Other Digestive System Diagnoses with CC | 16 | $44,741 | -5% | $7,752 |
| 637 Diabetes with MCC | 16 | $47,742 | -28% | $11,553 |
| 884 Organic Disturbances and Intellectual Disability | 16 | $37,686 | -40% | $11,857 |
| 057 Degenerative Nervous System Disorders without MCC | 15 | $40,863 | -28% | $11,995 |
| 069 Transient Ischemia without Thrombolytic | 15 | $38,498 | -24% | $6,706 |
| 467 Revision of Hip or Knee Replacement with CC | 15 | $111,795 | -29% | $26,025 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $43,160 | -15% | $8,048 |
| 313 Chest Pain | 14 | $38,492 | -4% | $6,095 |
| 389 Gastrointestinal Obstruction with CC | 14 | $34,137 | -12% | $9,822 |
| 638 Diabetes with CC | 14 | $34,751 | -17% | $8,350 |
| 100 Seizures with MCC | 13 | $63,828 | -32% | $14,904 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $31,837 | -30% | $9,950 |
| 180 Respiratory Neoplasms with MCC | 13 | $63,783 | -27% | $13,773 |
| 300 Peripheral Vascular Disorders with CC | 13 | $41,671 | -16% | $8,657 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 13 | $84,216 | -32% | $21,232 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $32,137 | -25% | $7,415 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 13 | $32,277 | -30% | $7,517 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $212,776 | -34% | $58,038 |
Showing the 60 most frequent of 68 DRGs.
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Alexius Medical Center charged $78,533 on average, 6% more than the Illinois average of $73,987, and was paid $16,317 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), St Alexius Medical Center charged $46,641 on average, 1% more than the Illinois average of $46,293, and was paid $10,271 against a state average of $11,813. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), St Alexius Medical Center charged $69,039 on average, 14% less than the Illinois average of $79,993, and was paid $14,835 against a state average of $16,670. For Respiratory Infections and Inflammations with MCC (DRG 177), St Alexius Medical Center charged $65,178 on average, 9% more than the Illinois average of $59,769, and was paid $12,914 against a state average of $14,404. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $53,852 was 20% below the state average of $67,146. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,676 was 10% above the state average of $21,498. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,070 was 12% below the state average of $14,917. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $10,167 was 153% above the state average of $4,013.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Alexius Medical Center in Hoffman Estates, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-15 (CMS case 3837)
- Met Requirements — 2025-05-08 (CMS case 4412)
- Met Requirements — 2026-05-11 (CMS case 7768)
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.