46/100
#1,390 nationally
Presence Saint Joseph Hospital - Chicago
2900 North Lake Shore Drive, Chicago, IL 60657 · (773) 665-3000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Presence Saint Joseph Hospital - Chicago billed $4.33 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
- 4.3x
- volume-weighted across all its priced work
- Procedures priced
- 46
- inpatient and outpatient combined
- Rank in IL
- #57
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 59% of U.S. hospitals.
Better than 38% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 47% 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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
481 | $12,458 | $2,263 | +6% |
|
Headaches without Major Complications
MS-DRG 103 · Inpatient stay |
201 | $62,670 | $18,759 | +36% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
100 | $24,541 | $2,662 | +26% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
92 | $29,610 | $15,646 | -18% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
63 | $80,057 | $19,833 | +23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
52 | $55,877 | $14,049 | +29% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
48 | $10,306 | $1,878 | -9% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
44 | $86,682 | $12,528 | +39% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
44 | $75,582 | $10,548 | +12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
38 | $11,415 | $1,511 | +13% |
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 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$33,291 | $2,764 | +88% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$21,527 | $1,981 | +67% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$44,232 | $5,033 | +61% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$32,779 | $3,391 | +59% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$54,057 | $5,481 | +54% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$71,442 | $13,347 | +51% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$29,918 | $3,862 | +45% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$86,682 | $12,528 | +39% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$27,410 | $10,504 | -26% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$15,418 | $3,100 | -19% |
|
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy
MS-DRG 895 · Inpatient stay |
$28,308 | $16,473 | -19% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$29,610 | $15,646 | -18% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$46,250 | $15,078 | -13% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$27,334 | $9,558 | -10% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$29,387 | $9,928 | -10% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$10,306 | $1,878 | -9% |
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.