20/100
#2,172 nationally
Presence Mercy Medical Center
1325 N Highland Avenue, Aurora, IL 60506 · (630) 859-2222
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Presence Mercy Medical Center billed $6.95 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
- 7.0x
- volume-weighted across all its priced work
- Procedures priced
- 41
- inpatient and outpatient combined
- Rank in IL
- #99
- 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 18% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 40% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
173 | $93,770 | $15,558 | +44% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
95 | $33,554 | $2,674 | +73% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
76 | $75,834 | $10,887 | +75% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
59 | $48,386 | $4,918 | +76% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
42 | $85,169 | $13,359 | +55% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
39 | $70,942 | $11,317 | +52% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
37 | $58,482 | $12,621 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
37 | $44,143 | $3,188 | +75% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
37 | $35,137 | $3,406 | +70% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
33 | $61,543 | $9,934 | +51% |
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 |
$24,883 | $1,584 | +147% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$73,047 | $5,637 | +108% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$61,855 | $7,387 | +108% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$74,585 | $8,148 | +101% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$61,037 | $7,227 | +89% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$112,588 | $12,487 | +80% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$48,386 | $4,918 | +76% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$44,143 | $3,188 | +75% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$58,482 | $12,621 | about average |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$48,867 | $8,996 | +10% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
$173,407 | $22,738 | +21% |
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$46,283 | $8,604 | +23% |
|
Hypertension with Major Complications
MS-DRG 304 · Inpatient stay |
$61,832 | $9,964 | +24% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$45,541 | $7,835 | +24% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$61,622 | $11,206 | +27% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$64,045 | $16,462 | +32% |
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.