42/100
#1,515 nationally
Carle Foundation Hospital
611 West Park Street, Urbana, IL 61801 · (217) 383-3311
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Carle Foundation Hospital billed $5.13 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.1x
- volume-weighted across all its priced work
- Procedures priced
- 169
- inpatient and outpatient combined
- Rank in IL
- #63
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 30% of U.S. hospitals.
Better than 58% of U.S. hospitals.
Better than 41% of U.S. hospitals.
Better than 53% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
315 | $48,796 | $11,538 | +12% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
303 | $22,531 | $2,449 | +16% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
295 | $2,193 | $621 | -30% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
291 | $10,147 | $1,688 | -14% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
284 | $11,312 | $1,381 | +12% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
282 | $97,235 | $16,492 | +49% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
279 | $50,085 | $11,979 | -20% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
192 | $21,703 | $2,971 | -14% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
183 | $14,534 | $2,867 | -24% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
172 | $7,531 | $1,831 | -42% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$135,843 | $17,404 | +83% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Major
MS-DRG 542 · Inpatient stay |
$110,295 | $18,239 | +61% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$88,003 | $14,633 | +56% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Major Complications
MS-DRG 371 · Inpatient stay |
$103,412 | $14,415 | +51% |
|
Other Musculoskeletal System and Connective Tissue Operating Room Procedures with
MS-DRG 516 · Inpatient stay |
$132,591 | $25,011 | +50% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$97,235 | $16,492 | +49% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$73,674 | $11,839 | +44% |
|
Other Musculoskeletal System and Connective Tissue Diagnoses with Complications
MS-DRG 565 · Inpatient stay |
$60,483 | $7,176 | +43% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$4,511 | $658 | -76% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$4,631 | $1,417 | -46% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,531 | $1,831 | -42% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$13,000 | $3,491 | -41% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$12,924 | $3,222 | -37% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$97,099 | $28,817 | -37% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
$36,041 | $11,514 | -35% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$18,445 | $4,711 | -33% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.