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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Advocate Sherman Hospital

Advocate Aurora Health · Elgin, IL

1425 North Randall Road, Elgin, IL 60123(847) 742-9800

4 of 5

CMS star rating

255

Beds

13,221

Inpatient discharges a year

$416M

Net patient revenue a year

35

In-network payers

Photo 1: Joseph Gage, CC BY-SA 2.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Advocate Sherman Hospital is a 255-bed voluntary non-profit - private hospital in Elgin, IL, affiliated with Advocate Aurora Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 425 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
140030
NPI
1629026364
Health system
Advocate Aurora Health
Teaching
No Medicare-funded residents
County
Kane County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2006

Prices for common services

The 24 services Advocate Sherman Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,231 - $11,376

from 4 insurers · median $9,052

Cigna$11,376
Insurer A*$6,231
Insurer B*$8,958
Insurer C*$9,146

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,400 - $19,362

from 4 insurers · median $12,773

Cigna$19,362
Insurer A*$8,400
Insurer B*$12,540
Insurer C*$13,007

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$6,615 - $14,441

from 2 insurers · median $10,528

Aetna$14,441
Insurer A*$6,615
Medicare $3,355Nearby hospitals $2,846270% above nearby hospitals

23 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,180 - $8,271

from 2 insurers · median $5,725

Aetna$8,271
Insurer A*$3,180
Medicare $940Nearby hospitals $2,095173% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Advocate Sherman Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*14
455%
47
Insurer B*24
297%
146
Insurer C*14
288%
82
Insurer D*24
167%
112

How we chose these services: 8 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Advocate Sherman Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 193 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.68%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 38 services, including trauma care
    • 935 affiliated clinicians
    See doctors and services
  • Finances

    $416M net patient revenue

    • Operating margin on patient care 5.1%
    • $39.3M unreimbursed and uncompensated care
    • $29.4M net income
    See finances
  • Ownership and leadership

    Owned by Advocate Aurora Health, Inc.

    • Private (not for profit)
    • Dia Nichols, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Advocate Sherman Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-2167920Advocate Sherman Hospital62Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 57 more1629026364 Advocate Sherman Hospital1700834371 Sherman Hospital1770751141 Sherman Hospitaland 3 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1425 North Randall Road, Elgin, IL 60123

(847) 742-9800

Get directions

Frequently asked questions

About Advocate Sherman Hospital's rates and hospital price transparency.

How much does an MRI cost at Advocate Sherman Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Advocate Sherman Hospital range from $298 to $2,540 across 4 insurers. Aetna's rate is $1,520. The median at nearby comparable hospitals is $1,832. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Advocate Sherman Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Advocate Sherman Hospital range from $298 to $1,597 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $1,597. The median at nearby comparable hospitals is $1,752. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Advocate Sherman Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Advocate Sherman Hospital range from $3,086 to $3,466 across 2 insurers. Aetna's rate is $3,466. The median at nearby comparable hospitals is $2,117. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Advocate Sherman Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Advocate Sherman Hospital range from $6,231 to $11,376 across 4 insurers. Cigna's rate is $11,376. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Advocate Sherman Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Advocate Sherman Hospital range from $94 to $435 across 4 insurers. UnitedHealthcare's rate is $94. The median at nearby comparable hospitals is $295. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Advocate Sherman Hospital's CMS star rating?

Advocate Sherman Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Advocate Sherman Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Advocate Sherman Hospital for fiscal year 2027.

Does Medicare penalize Advocate Sherman Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Advocate Sherman Hospital's base inpatient payments by an estimated 0.68% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Advocate Sherman Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (318 discharges), heart failure and shock with mcc (240 discharges), simple pneumonia and pleurisy with mcc (111 discharges).

What is Advocate Sherman Hospital's case mix index?

Advocate Sherman Hospital's Medicare case mix index is 1.69 for fiscal year 2027, higher than 51% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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