45/100
#1,423 nationally
Insight Hospital And Medical Center Chicago
2525 S Michigan Ave, Chicago, IL 60616 · (312) 567-2000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Insight Hospital And Medical Center Chicago billed $3.88 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
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 12
- inpatient and outpatient combined
- Rank in IL
- #59
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 70% of U.S. hospitals.
Better than 36% of U.S. hospitals.
Better than 34% of U.S. hospitals.
Better than 12% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
117 | $20,020 | $2,599 | +3% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
77 | $68,564 | $19,938 | +5% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
48 | $115,039 | $16,613 | +20% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
31 | $41,388 | $13,810 | +15% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
23 | $56,096 | $17,752 | -9% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
21 | $50,513 | $17,366 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
14 | $166,256 | $62,424 | -7% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
13 | $45,668 | $12,503 | +5% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
12 | $42,651 | $11,558 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
12 | $29,851 | $1,437 | +196% |
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 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$29,851 | $1,437 | +196% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$56,159 | $14,603 | +21% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$115,039 | $16,613 | +20% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$41,388 | $13,810 | +15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$45,668 | $12,503 | +5% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$68,564 | $19,938 | +5% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$20,020 | $2,599 | +3% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$42,651 | $11,558 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis
MS-DRG 870 · Inpatient stay |
$203,981 | $76,495 | -24% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$56,096 | $17,752 | -9% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$166,256 | $62,424 | -7% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$50,513 | $17,366 | about average |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$42,651 | $11,558 | about average |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$20,020 | $2,599 | +3% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$68,564 | $19,938 | +5% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$45,668 | $12,503 | +5% |
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.