33/100
#1,786 nationally
Carle Health Proctor Hospital
5409 N Knoxville Ave, Peoria, IL 61354 · (309) 691-1000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Carle Health Proctor Hospital billed $6.28 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
- 6.3x
- volume-weighted across all its priced work
- Procedures priced
- 36
- inpatient and outpatient combined
- Rank in IL
- #82
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 25% of U.S. hospitals.
Better than 44% of U.S. hospitals.
Better than 31% of U.S. hospitals.
Better than 36% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
662 | $66,182 | $12,022 | +6% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
566 | $21,354 | $2,148 | +82% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
173 | $18,775 | $1,760 | +65% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
127 | $32,061 | $2,954 | +57% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
126 | $51,594 | $6,528 | +29% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
105 | $33,908 | $3,729 | +64% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
104 | $98,343 | $17,185 | +18% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
101 | $54,117 | $12,827 | -17% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
69 | $82,871 | $13,867 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
63 | $22,826 | $2,530 | +17% |
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 |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$21,354 | $2,148 | +82% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$20,229 | $1,453 | +80% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$17,843 | $1,456 | +77% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$25,034 | $2,119 | +73% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$18,775 | $1,760 | +65% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$33,908 | $3,729 | +64% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$28,993 | $2,462 | +64% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$32,061 | $2,954 | +57% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$24,845 | $5,586 | -24% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$54,117 | $12,827 | -17% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$29,996 | $5,894 | -9% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture with Major Complications
MS-DRG 521 · Inpatient stay |
$102,722 | $18,580 | -9% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
$95,185 | $16,522 | -6% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$17,884 | $2,946 | -6% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$37,210 | $6,879 | -5% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$83,720 | $14,407 | about average |
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.