56/100
#1,086 nationally
Swedish Hospital
5145 N California Ave, Chicago, IL 60625 · (773) 878-8200
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Swedish Hospital billed $4.53 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
- 4.5x
- volume-weighted across all its priced work
- Procedures priced
- 75
- inpatient and outpatient combined
- Rank in IL
- #28
- 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 59% of U.S. hospitals.
Better than 49% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 68% 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 |
697 | $17,824 | $2,578 | -8% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
397 | $13,323 | $1,826 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
260 | $58,855 | $17,856 | -10% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
173 | $15,216 | $1,226 | -14% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
131 | $113,087 | $22,331 | -15% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
101 | $32,811 | $3,078 | +30% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
92 | $15,579 | $2,212 | +33% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
88 | $39,403 | $12,295 | -9% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
88 | $10,495 | $1,539 | +4% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
72 | $2,318 | $276 | -26% |
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 |
|---|---|---|---|
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$85,837 | $15,012 | +40% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$31,221 | $3,555 | +38% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$15,579 | $2,212 | +33% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$32,811 | $3,078 | +30% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$52,759 | $8,097 | +19% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,323 | $1,826 | +17% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$50,961 | $8,980 | +16% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$40,563 | $5,478 | +16% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$6,321 | $1,113 | -51% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$19,101 | $5,217 | -47% |
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$43,688 | $17,881 | -45% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$41,193 | $15,924 | -45% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$28,096 | $12,102 | -41% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
$26,177 | $9,850 | -37% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$36,502 | $13,471 | -35% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$12,225 | $2,612 | -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.