Open Heart Surgery Cost in Illinois (2026)
Close to the national average · RPP 101.2 · IL
Illinois Average
$151,800
Typical Range
$80,960 – $253,000
National Average
$150,000
Estimated Cost Breakdown in Illinois
Open Heart Surgery costs in Illinois track close to the national average. Here's how the total is divided across cost components.
| Component | Estimated Range |
|---|---|
| Hospital Stay | $37,191 - $69,069 |
| Surgeon Fee | $21,252 - $39,468 |
| Implants Supplies | $15,938 - $29,601 |
| Operating Room | $15,938 - $29,601 |
| Anesthesia | $8,501 - $15,787 |
| Post Op Care | $7,438 - $13,814 |
| Total Estimated Cost | $80,960 – $253,000 |
Based on CMS Medicare data and regional price parities. Learn about our methodology →
Ranges adjusted for Illinois's regional price parity (101.2). See the national percentage breakdown →
Facility Costs in Illinois
Here are the highest-volume open heart surgery providers in Illinois. All rates come from CMS Medicare claims data — actual payments, not list prices.
| Facility | City | Negotiated Rate | Medicare Payment | Volume |
|---|---|---|---|---|
| Northwestern Memorial Hospital | Chicago | $80,338 | $68,849 | 191 |
| The University Of Chicago Medical Center | Chicago | $96,802 | $81,450 | 74 |
| Loyola University Medical Center | Maywood | $86,646 | $74,879 | 46 |
| Advocate Christ Hospital & Medical Center | Oak Lawn | $78,635 | $65,380 | 28 |
| Rush University Medical Center | Chicago | $90,801 | $84,290 | 23 |
| Northwestern Medicine Central Dupage Hospital | Winfield | $60,649 | $59,030 | 21 |
| Northwestern Memorial Hospital | Chicago | $108,891 | $101,636 | 20 |
| St Johns Hospital | Springfield | $73,597 | $56,505 | 19 |
| Saint Francis Medical Center | Peoria | $78,094 | $64,314 | 15 |
| The University Of Chicago Medical Center | Chicago | $168,314 | $110,046 | 15 |
Open Heart Surgery Cost in Neighboring States
Open Heart Surgery pricing in Illinois is typical nationally, though nearby states offer slightly lower rates.
Open Heart Surgery in Illinois: Common Questions
How much does open heart surgery cost in Illinois?
In Illinois, open heart surgery runs about $151,800 on average. Most patients pay between $80,960 and $253,000, with the final price shaped by your choice of surgeon, facility type, and procedure complexity.
Does insurance cover open heart surgery?
For medically necessary cases, open heart surgery is usually covered. Your out-of-pocket cost in Illinois will depend on your plan's deductible, copay structure, and whether your provider is in-network. Always get a pre-authorization before the procedure.
When can I return to work after open heart surgery?
Expect 42 to 120 days before you're fully back to normal after open heart surgery. Recovery milestones vary by patient, but most people in Illinois find they can handle light errands by day 42 and resume exercise around day 120. Your surgeon's post-op protocol will give you a more personalized timeline.
Are payment plans available for open heart surgery in Illinois?
Most Illinois surgeons work with financing companies that offer monthly payment plans. CareCredit and Prosper are the most common. You might also ask about cash-pay pricing — some providers knock 10-20% off the $151,800 sticker price when you pay upfront.
What should I look for in a Illinois open heart surgery provider?
Compare facilities on volume (higher volume correlates with better outcomes), accreditation status, and the negotiated rate vs. what you'd pay out of pocket. In Illinois, check whether an outpatient surgery center can perform your open heart surgery — ASCs typically charge 30-50% less than hospitals for the same procedure.
Can I save by getting open heart surgery in a neighboring state?
Yes — Missouri offers open heart surgery at an average of $137,700, which is $14,100 less than Illinois. Factor in travel costs, follow-up visit logistics, and whether your insurance network covers out-of-state providers before making the trip.
Does Illinois Medicaid cover open heart surgery?
Medicaid coverage for open heart surgery in Illinois depends on medical necessity. If your doctor documents that open heart surgery is required for your health, Illinois Medicaid may cover part or all of the cost. Pre-authorization is typically required. Contact Illinois's Medicaid office or your managed care plan for specific coverage details.