Illinois / The University of Chicago Medical Center

CMS certification 140088 · Chicago, IL

The University of Chicago Medical Center: charges and Medicare payments

The University of Chicago Medical Center reported 5,502 Medicare inpatient stays across 169 DRGs in 2024. Across them it charged 4.5 times what it was paid — mid-range in Illinois, number 36 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 247 stays at an average charge of $78,214, 39% above the national average. It also billed 7,442 outpatient services, charging 11.68 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 5,502
  2. 2Charge ÷ paid, inpatient 4.5×
  3. 3Rank in IL (highest ratio = 1) 36 of 106
  4. 4CMS price-transparency actions 0
DRG 291$78,214DRG 871$160,065DRG 640$84,085DRG 812$61,139DRG 699$62,630DRG 177$107,269DRG 378$74,834DRG 064$158,649DRG 683$56,022DRG 392$57,660
Average charge per stay at The University of Chicago Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 169 DRGs that can be compared with the national average, The University of Chicago Medical Center charged more than the national average in 157 (93%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
291 Heart Failure and Shock with MCC247$78,214+39%$18,328
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC183$160,065+77%$31,700
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...107$84,085+39%$18,572
812 Red Blood Cell Disorders without MCC105$61,139+38%$15,599
699 Other Kidney and Urinary Tract Diagnoses with CC90$62,630+32%$14,963
177 Respiratory Infections and Inflammations with MCC88$107,269+52%$23,900
378 Gastrointestinal Hemorrhage with CC79$74,834+54%$14,885
064 Intracranial Hemorrhage or Cerebral Infarction with MCC78$158,649+59%$38,309
683 Renal Failure with CC76$56,022+38%$14,535
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...75$57,660+44%$13,112
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...74$73,559+9%$22,037
853 Infectious and Parasitic Diseases with O.R. Procedures with...73$375,162+64%$81,243
267 Endovascular Cardiac Valve Replacement and Supplement...71$232,518+5%$58,889
193 Simple Pneumonia and Pleurisy with MCC68$93,862+57%$21,062
286 Circulatory Disorders except AMI, with Cardiac...67$173,790+55%$42,898
190 Chronic Obstructive Pulmonary Disease with MCC66$116,224+130%$20,342
698 Other Kidney and Urinary Tract Diagnoses with MCC65$108,260+47%$28,332
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...64$60,625+64%$12,445
312 Syncope and Collapse63$51,569+13%$12,465
690 Kidney and Urinary Tract Infections without MCC60$56,829+50%$12,725
314 Other Circulatory System Diagnoses with MCC59$163,571+72%$32,469
849 Radiotherapy59$99,248-27%$36,796
309 Cardiac Arrhythmia and Conduction Disorders with CC58$46,697+29%$14,152
330 Major Small and Large Bowel Procedures with CC58$181,458+52%$32,918
219 Cardiac Valve and Other Major Cardiothoracic Procedures...57$371,324-7%$100,184
236 Coronary Bypass without Cardiac Catheterization without MCC57$233,894+11%$60,782
682 Renal Failure with MCC55$97,421+48%$21,630
189 Pulmonary Edema and Respiratory Failure51$104,906+82%$18,744
652 Kidney Transplant50$414,461+23%$46,230
280 Acute Myocardial Infarction, Discharged Alive with MCC49$114,211+51%$23,169
377 Gastrointestinal Hemorrhage with MCC49$157,600+85%$27,856
394 Other Digestive System Diagnoses with CC49$53,679+14%$14,758
003 ECMO or Tracheostomy with MV >96 Hours or Principal...48$1,235,245+17%$296,723
308 Cardiac Arrhythmia and Conduction Disorders with MCC47$68,737+21%$17,855
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...46$96,280+73%$21,527
001 Heart Transplant or Implant of Heart Assist System with MCC44$1,550,132+6%$339,781
023 Craniotomy with Major Device Implant or Acute Complex Cns...44$345,359+23%$80,960
191 Chronic Obstructive Pulmonary Disease with CC42$50,552+28%$12,502
208 Respiratory System Diagnosis with Ventilator Support <=96...41$216,114+59%$50,300
194 Simple Pneumonia and Pleurisy with CC40$53,768+40%$13,693
274 Percutaneous and Other Intracardiac Procedures without MCC40$175,629+12%$37,842
025 Craniotomy and Endovascular Intracranial Procedures with MCC39$348,867+51%$67,455
315 Other Circulatory System Diagnoses with CC39$72,304+51%$14,612
481 Hip and Femur Procedures except Major Joint with CC38$136,156+35%$27,765
603 Cellulitis without MCC38$54,280+46%$13,498
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...38$384,320+78%$80,763
018 Chimeric Antigen Receptor (Car) T-Cell and Other...37$2,770,449+26%$486,850
164 Major Chest Procedures with CC37$149,154+17%$35,364
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...36$81,047+33%$19,242
552 Medical Back Problems without MCC36$61,346+26%$16,438
811 Red Blood Cell Disorders with MCC36$116,628+71%$26,393
252 Other Vascular Procedures with MCC35$216,283+27%$48,118
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC34$81,858+67%$19,408
917 Poisoning and Toxic Effects of Drugs with MCC34$92,848+24%$21,742
235 Coronary Bypass without Cardiac Catheterization with MCC33$329,526+13%$80,615
846 Chemotherapy without Acute Leukemia As Secondary Diagnosis...33$147,417+10%$45,504
638 Diabetes with CC32$54,941+32%$13,882
057 Degenerative Nervous System Disorders without MCC31$89,165+57%$23,128
074 Cranial and Peripheral Nerve Disorders without MCC31$55,360+3%$14,733
101 Seizures without MCC31$53,980+11%$14,218

Showing the 60 most frequent of 169 DRGs.

Outpatient services

Against the Illinois average

For Heart Failure and Shock with MCC (DRG 291), The University of Chicago Medical Center charged $78,214 on average, 69% more than the Illinois average of $46,293, and was paid $18,328 against a state average of $11,813. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), The University of Chicago Medical Center charged $160,065 on average, 116% more than the Illinois average of $73,987, and was paid $31,700 against a state average of $17,651. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), The University of Chicago Medical Center charged $84,085 on average, 80% more than the Illinois average of $46,822, and was paid $18,572 against a state average of $12,592. For Red Blood Cell Disorders without MCC (DRG 812), The University of Chicago Medical Center charged $61,139 on average, 56% more than the Illinois average of $39,096, and was paid $15,599 against a state average of $9,563. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $6,232 was 55% above the state average of $4,013. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $20,579 was 51% above the state average of $13,661. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,765 was 66% above the state average of $21,498. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $30,106 was 35% above the state average of $22,245.

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.