Swedish Hospital: charges and Medicare payments

Swedish Hospital reported 1,232 Medicare inpatient stays across 41 DRGs in 2024. Across them it charged 3.59 times what it was paid — mid-range in Illinois, number 68 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: 260 stays at an average charge of $58,855, 35% below the national average. It also billed 2,501 outpatient services, charging 7.34 times what Medicare paid.

1Medicare inpatient stays 1,232
2Charge ÷ paid, inpatient 3.59×
3Rank in IL (highest ratio = 1) 68 of 106
4CMS price-transparency actions 0

Average charge per stay at Swedish Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 41 DRGs that can be compared with the national average, Swedish Hospital charged more than the national average in 2 (5%). 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	260	$58,855	-35%	$17,856
291 Heart Failure and Shock with MCC	88	$39,403	-30%	$12,295
177 Respiratory Infections and Inflammations with MCC	45	$49,540	-30%	$14,346
698 Other Kidney and Urinary Tract Diagnoses with MCC	44	$52,001	-29%	$14,721
690 Kidney and Urinary Tract Infections without MCC	40	$26,788	-29%	$8,050
193 Simple Pneumonia and Pleurisy with MCC	38	$40,279	-33%	$13,456
689 Kidney and Urinary Tract Infections with MCC	38	$35,143	-32%	$10,407
853 Infectious and Parasitic Diseases with O.R. Procedures with...	38	$169,297	-26%	$43,202
683 Renal Failure with CC	37	$30,706	-25%	$9,097
682 Renal Failure with MCC	34	$49,589	-25%	$13,660
280 Acute Myocardial Infarction, Discharged Alive with MCC	32	$85,837	+13%	$15,012
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	32	$35,048	-29%	$10,003
322 Percutaneous Cardiovascular Procedures with Intraluminal...	27	$94,592	-17%	$21,738
378 Gastrointestinal Hemorrhage with CC	27	$29,335	-40%	$9,955
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	26	$45,291	-19%	$11,275
189 Pulmonary Edema and Respiratory Failure	26	$51,579	-10%	$12,206
309 Cardiac Arrhythmia and Conduction Disorders with CC	25	$30,573	-15%	$7,571
377 Gastrointestinal Hemorrhage with MCC	25	$58,758	-31%	$15,711
208 Respiratory System Diagnosis with Ventilator Support <=96...	23	$90,597	-33%	$24,729
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$41,479	-31%	$11,886
603 Cellulitis without MCC	20	$26,882	-28%	$9,180
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$27,619	-31%	$7,870
870 Septicemia or Severe Sepsis with MV >96 Hours	19	$201,878	-38%	$56,351
286 Circulatory Disorders except AMI, with Cardiac...	18	$82,000	-27%	$19,964
321 Percutaneous Cardiovascular Procedures with Intraluminal...	17	$133,364	-19%	$25,660
281 Acute Myocardial Infarction, Discharged Alive with CC	16	$50,961	+1%	$8,980
638 Diabetes with CC	16	$34,428	-17%	$9,385
305 Hypertension without MCC	15	$26,437	-34%	$7,501
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	15	$34,032	-8%	$8,191
308 Cardiac Arrhythmia and Conduction Disorders with MCC	14	$54,188	-4%	$12,021
432 Cirrhosis and Alcoholic Hepatitis with MCC	14	$43,688	-54%	$17,881
057 Degenerative Nervous System Disorders without MCC	13	$28,096	-50%	$12,102
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	13	$65,084	-35%	$17,110
194 Simple Pneumonia and Pleurisy with CC	13	$25,890	-33%	$12,159
552 Medical Back Problems without MCC	13	$41,548	-15%	$9,498
180 Respiratory Neoplasms with MCC	12	$41,193	-53%	$15,924
243 Permanent Cardiac Pacemaker Implant with CC	12	$84,651	-24%	$24,914
394 Other Digestive System Diagnoses with CC	12	$32,036	-32%	$9,199
637 Diabetes with MCC	12	$36,502	-45%	$13,471
178 Respiratory Infections and Inflammations with CC	11	$37,348	-18%	$10,264
543 Pathological Fractures and Musculoskeletal and Connective...	11	$26,177	-47%	$9,850

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	697	$17,824	$2,578
Level 1 Nerve Procedures	397	$13,323	$1,826
Level 3 Excision/ Biopsy/ Incision and Drainage	173	$15,216	$1,226
Level 3 Electrophysiologic Procedures	131	$113,086	$22,331
Level 1 Endovascular Procedures	101	$32,811	$3,078
Level 1 Intraocular Procedures	92	$15,579	$2,212
Level 2 Excision/ Biopsy/ Incision and Drainage	88	$10,495	$1,539
Level 2 Urology and Related Services	72	$2,318	$276
Level 1 Laparoscopy and Related Services	69	$40,563	$5,478
Level 3 Endovascular Procedures	66	$68,447	$10,143
Level 3 Vascular Procedures	57	$20,992	$3,026
Level 5 Urology and Related Services	51	$26,106	$4,816
Level 4 Musculoskeletal Procedures	43	$36,734	$6,792
Level 2 Vascular Procedures	43	$7,376	$1,492
Level 4 Urology and Related Services	43	$21,201	$3,310
Level 3 Urology and Related Services	41	$6,321	$1,113
Level 3 Musculoskeletal Procedures	38	$22,624	$3,009
Level 2 Upper GI Procedures	28	$11,570	$1,807
Level 2 Musculoskeletal Procedures	24	$9,288	$1,526
Level 2 Intraocular Procedures	24	$20,636	$3,860
Level 4 Endovascular Procedures	22	$68,613	$15,103
Level 6 Urology and Related Services	22	$52,759	$8,097
Level 4 Vascular Procedures	20	$19,101	$5,217
Level 2 Endovascular Procedures	20	$37,026	$5,427
Level 3 Pacemaker and Similar Procedures	20	$45,728	$10,130

Against the Illinois average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Swedish Hospital charged $58,855 on average, 20% less than the Illinois average of $73,987, and was paid $17,856 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Swedish Hospital charged $39,403 on average, 15% less than the Illinois average of $46,293, and was paid $12,295 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Swedish Hospital charged $49,540 on average, 17% less than the Illinois average of $59,769, and was paid $14,346 against a state average of $14,404. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Swedish Hospital charged $52,001 on average, 8% less than the Illinois average of $56,671, and was paid $14,721 against a state average of $14,839. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,824 was 17% below the state average of $21,498. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $13,323 was 3% above the state average of $12,903. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $15,216 was 32% below the state average of $22,245. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $113,086 was 15% below the state average of $133,114.

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.