Carle Health Proctor Hospital

5409 N Knoxville Ave · Peoria, IL 61614

🤖AI Overview

⚠️ This hospital charges 6.5x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$58.3M

Medicare Payments

$8.9M

Discharges

1,096

Avg Length of Stay

4.2 days

Markup Ratio

6.5x

Risk Score

1.85

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Carle Health Proctor Hospital charges an average of $53,193 per discharge, but Medicare only pays $8,164 — a markup of 6.5x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

6.5x

State Avg

5.3x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$53,193

State Avg

$72,765

National Avg

$69,838

Avg Length of Stay

This Hospital

4.2 days

State Avg

5.1 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

5.4%

65–74

26.9%

75–84

34.7%

85+

33.1%

Gender

56.9%

Female

43.1%

Male

Dual Eligibility

13.2%

Dual Eligible

86.8%

Non-Dual

Race & Ethnicity

White

91.8%

Black

5.0%

Other

1.9%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

55.3%

Chronic Kidney Disease

53.3%

Heart Failure

44.3%

Ischemic Heart Disease

40.6%

Anxiety

36.5%

Diabetes

36.0%

Mood Disorders

35.8%

Depression

34.3%

Atrial Fibrillation

34.2%

COPD

32.5%

Alzheimer's/Dementia

23.6%

Cancer

23.0%

Osteoporosis

17.6%

Tobacco Use

15.2%

Stroke/TIA

13.8%

Asthma

9.9%

Substance Use

9.8%

Schizophrenia/Psychosis

4.9%

Bipolar Disorder

4.8%

Parkinson's

3.5%

PTSD

2.4%

Personality Disorders

2.1%

ADHD/Conduct Disorders

1.3%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.