Short Term Acute Care HospitalVoluntary Non-Profit - Private

Alton Memorial Hospital

BJC Healthcare · Alton, IL

One Memorial Drive, Alton, IL 62002(314) 286-2227

4 of 5

CMS star rating

130

Beds

8,405

Inpatient discharges a year

$217.8M

Net patient revenue a year

In-network payers

About this hospital

Alton Memorial Hospital is a 130-bed voluntary non-profit - private hospital in Alton, IL, affiliated with BJC Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 463 disclosed rate categories.

Disproportionate share hospital
ACO participant
Helipad

CCN: 140002
NPI: 1548278476
Website: altonmemorialhospital.org
Health system: BJC Healthcare
Teaching: Teaching hospital
County: Madison County
Metro area: St. Louis, MO-IL MSA
Medicare contractor: Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since: 1966
Last CMS survey: 2007

Prices for common services

The 24 services Alton Memorial 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.

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Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,560 - $9,849

from 4 insurers · median $7,659

BCBS Illinois$9,849

Insurer A*est.$4,560

Insurer B*$7,121

Insurer C*$8,197

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,593 - $15,453

from 4 insurers · median $11,450

BCBS Illinois$15,453

Insurer A*est.$7,593

Insurer B*$10,597

Insurer C*$12,302

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 obstetrics / child birth services to CMS

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,480 - $5,890

from 4 insurers · median $4,354

Aetna$1,480

Insurer A*$4,210

Insurer B*$4,499

Insurer C*$5,890

Medicare $537Nearby hospitals $1,129286% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$14,477 - $32,825

from 4 insurers · median $26,415

Aetna$24,702

Insurer A*$14,477

Insurer B*$28,127

Insurer C*$32,825

Medicare $11,245Nearby hospitals $21,80721% above nearby hospitals

25 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Alton Memorial 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.

Insurer	Services	Median % of Medicare	Above nearby	Below nearby
Insurer A*	23	283%	12	4
Insurer B*	24	261%	18	2
Insurer C*	18	209%	11	4
Insurer D*	24	82%	5	16

How we chose these services: 6 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 7 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 Alton Memorial 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.

Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

Quality
4 of 5 stars
- 196 min in the ER before going home (US median 148)
- Medicare readmissions penalty (-1.38%)
See quality ratings
Doctors and services
Accredited by The Joint Commission
- Teaching hospital
- 25 services
- 469 affiliated clinicians
See doctors and services
Finances
$217.8M net patient revenue
- Operating margin on patient care 0.9%
- $12.1M unreimbursed and uncompensated care
- -$14.6M net income
See finances
Ownership and leadership
Owned by Christian Health Services Development Corporation
- Private (not for profit)
- Michele Mckee, chief executive
See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)	Plans and networks listing it	Organization NPIs
37-0661172Alton Memorial Hospital	57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more	1548278476 Alton Memorial Hospital1356365670 Alton Memorial Hospital1164615670 Alton Memorial Hospitaland 5 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

One Memorial Drive, Alton, IL 62002

(314) 286-2227

Get directions

Quality ratings (CMS Care Compare)

How Alton Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.

Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 10 measures
0 better, 8 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
76%
Higher than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.8
Lower than 93% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
196 min
Higher than 79% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
42%
Lower than 90% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better

Measure details and reporting periods

Measure	Result	Period
Overall star ratingCMS: Overall hospital quality star rating	4 of 5
Death rates	No different on 6 measures
Safety	Better on 1 of 7 measures
Readmissions	Worse on 2 of 10 measures
Patient survey ratingCMS: Summary star rating	4 of 5	2024-10-01 to 2025-09-30
Would definitely recommendCMS: "YES", patients would definitely recommend the hospital	76%	2024-10-01 to 2025-09-30
Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction	Not penalized	2026
Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90)	0.8	2022-07-01 to 2024-06-30
Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better	196 min	2024-10-01 to 2025-09-30
Sepsis careCMS: Appropriate care for severe sepsis and septic shock	42%	2024-10-01 to 2025-09-30

Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.

Medicare quality penalties and bonuses

How Medicare adjusts Alton Memorial Hospital's inpatient payments for its readmissions, quality and cost results.

-1.38% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.31% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.

Source: CMS IPPS final rule Impact File (FY 2027).

Every CMS quality measure

Each result CMS publishes for Alton Memorial Hospital, beside the US median and the average of IL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.

Deaths and complications19 measures

Risk-adjusted 30-day death rates and surgical complications; lower is better.

Measure	Alton Memorial Hospital	US median	IL average	CMS comparison	US rank
Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 91 cases	3.7	4.1	4.202		Better than 67% of US hospitals
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,019 cases	3.5	3.9	4.052		Better than 74% of US hospitals
Death rate for heart attack patients2022-07-01 to 2025-06-30 · 70 cases	10.6	11.8	11.78		Better than 86% of US hospitals
Death rate for CABG surgery patients2022-07-01 to 2025-06-30	Not Available		2.39
Death rate for COPD patients2022-07-01 to 2025-06-30 · 113 cases	6	8.5	8.223		Better than 98% of US hospitals
Death rate for heart failure patients2022-07-01 to 2025-06-30 · 292 cases	11.6	11	10.49		Worse than 62% of US hospitals
Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 337 cases	13.2	15.2	15.41		Better than 79% of US hospitals
Death rate for stroke patients2023-07-01 to 2025-06-30 · 153 cases	12.1	11.6	11.77		Worse than 57% of US hospitals
Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,915 cases	0.24	0.51	0.5668	No Different Than the National Rate	Better than 87% of US hospitals
Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30	Not Available		173	Number of Cases Too Small
Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,592 cases	0.23	0.2	0.2122	No Different Than the National Rate	Worse than 77% of US hospitals
In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,608 cases	0.27	0.27	0.2728	No Different Than the National Rate	Worse than 46% of US hospitals
Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 420 cases	2.11	2.29	2.301	No Different Than the National Rate	Better than 78% of US hospitals
Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 124 cases	1.63	1.63	1.67	No Different Than the National Rate	Better than 50% of US hospitals
Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 125 cases	7.81	8.88	9.531	No Different Than the National Rate	Better than 74% of US hospitals
Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 443 cases	2.93	3.4	3.714	No Different Than the National Rate	Better than 84% of US hospitals
Postoperative sepsis rate2022-07-01 to 2024-06-30 · 120 cases	4.75	5.105	5.152	No Different Than the National Rate	Better than 74% of US hospitals
Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 117 cases	1.7	1.72	1.741	No Different Than the National Rate	Better than 58% of US hospitals
Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 458 cases	0.95	1.02	1.045	No Different Than the National Rate	Better than 73% of US hospitals

Readmissions and return visits14 measures

Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.

Measure	Alton Memorial Hospital	US median	IL average	CMS comparison	US rank
Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 57 cases	-0.7	4.2	11.54		Better than 59% of US hospitals
Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 319 cases	43.5	1.25	8.216		Worse than 90% of US hospitals
Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 332 cases	23.3	3.85	13.94		Worse than 75% of US hospitals
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30	Not Available
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,288 cases	13.2	12.9	12.97	No Different Than the National Rate	Worse than 62% of US hospitals
Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available		11.17	Number of Cases Too Small
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31	Not Available		5.176	Number of Cases Too Small
Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 425 cases	0.8	1	1.016	No Different than expected	Better than 92% of US hospitals
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 80 cases	14.3	14.4	14.43		Better than 50% of US hospitals
Rate of readmission for CABG2023-07-01 to 2025-06-30	Not Available		11.3
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 233 cases	20.3	19.8	20.07		Worse than 69% of US hospitals
Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 539 cases	21.4	21.3	21.51		Worse than 51% of US hospitals
Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 101 cases	6.6	5.8	5.976		Worse than 87% of US hospitals
Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 523 cases	16.4	17.2	17.5		Better than 83% of US hospitals

Infections36 measures

Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.

Measure	Alton Memorial Hospital	US median	IL average	CMS comparison	US rank
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	0.017	0.172	0.315	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	1.714	1.504	2.097	No Different than National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30	3,232	1,370	4,356	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	2.878	0.9835	4.318	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	1	0	2.961	No Different than National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30	0.347	0.484	0.7494	No Different than National Benchmark	Better than 62% of US hospitals
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30	0.013	0.138	0.2157	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30	1.27	1.392	1.915	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30	3,766	1,799	3,807	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30	3.882	1.377	4.51	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30	1	0	2.56	No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30	0.258	0.399	0.5759	No Different than National Benchmark	Better than 63% of US hospitals
SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30	0.028	0.2345	0.3411	No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30	2.723	2.135	2.549	No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30	70	61	96.21	No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30	1.811	1.591	2.6	No Different than National Benchmark
SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30	1	1	2.339	No Different than National Benchmark
SSI - Colon Surgery2024-10-01 to 2025-09-30	0.552	0.7155	0.9044	No Different than National Benchmark	Better than 60% of US hospitals
SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30	Not Available		0.3129
SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30	Not Available		3.282
SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30	74	38	84.23
SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30	0.635	0.328	0.7325
SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30	1	0	0.72
SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30	Not Available		0.899
MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30	0.025	0.193	0.1945	No Different than National Benchmark
MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30	2.495	1.855	2.01	No Different than National Benchmark
MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30	35,381	14,451	38,381	No Different than National Benchmark
MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30	1.977	0.567	2.311	No Different than National Benchmark
MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30	1	0	1.305	No Different than National Benchmark
MRSA Bacteremia2024-10-01 to 2025-09-30	0.506	0.597	0.5504	No Different than National Benchmark	Better than 58% of US hospitals
Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30	0.091	0.127	0.1833	Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30	0.69	0.747	1.212	Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30	33,883	13,646	35,800	Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30	13.99	5.683	19.22	Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30	4	2	7.192	Better than the National Benchmark
Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30	0.286	0.279	0.4067	Better than the National Benchmark	Worse than 51% of US hospitals

Patient survey (HCAHPS)68 measures

How recent inpatients answered each survey question, with CMS's star rating per topic.

Measure	Alton Memorial Hospital	US median	IL average	US rank
Room was "always" clean2024-10-01 to 2025-09-30 · 990 cases	70	73	72.75	Worse than 62% of US hospitals
Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 990 cases	11	8	9.158	Worse than 70% of US hospitals
Room was "usually" clean2024-10-01 to 2025-09-30 · 990 cases	19	18	18.09
Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 990 cases	86	87	85.64	Worse than 53% of US hospitals
Cleanliness - star rating2024-10-01 to 2025-09-30 · 990 cases	3	4	3.195	Worse than 53% of US hospitals
Nurses "always" communicated well2024-10-01 to 2025-09-30 · 990 cases	82	80	79.29	Better than 63% of US hospitals
Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 990 cases	94	91	90.92	Better than 82% of US hospitals
Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 990 cases	1	4	4.576	Better than 88% of US hospitals
Nurse communication - star rating2024-10-01 to 2025-09-30 · 990 cases	5	3	3.305	The top rating, shared by 18% of US hospitals
Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 990 cases	17	16	16.13
Doctors "always" communicated well2024-10-01 to 2025-09-30 · 990 cases	82	79	78.82	Better than 66% of US hospitals
Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 990 cases	93	91	90.1	Better than 77% of US hospitals
Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 990 cases	3	5	5.823	Better than 77% of US hospitals
Doctor communication - star rating2024-10-01 to 2025-09-30 · 990 cases	4	3	2.89	Better than 63% of US hospitals
Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 990 cases	15	16	15.36
Staff "always" explained2024-10-01 to 2025-09-30 · 990 cases	62	61	61.18	Better than 53% of US hospitals
Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 990 cases	79	77	76.11	Better than 65% of US hospitals
Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 990 cases	19	19	19.8	Better than 50% of US hospitals
Communication about medicines - star rating2024-10-01 to 2025-09-30 · 990 cases	3	3	2.559	Better than 47% of US hospitals
Staff "usually" explained2024-10-01 to 2025-09-30 · 990 cases	19	19	19.01
Discharge information - linear mean score2024-10-01 to 2025-09-30 · 990 cases	90	86	85.26	Better than 86% of US hospitals
No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 990 cases	10	13	13.92	Better than 78% of US hospitals
Discharge information - star rating2024-10-01 to 2025-09-30 · 990 cases	4	3	3.237	Better than 55% of US hospitals
Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 990 cases	90	87	86.08	Better than 78% of US hospitals
No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 990 cases	10	14	14.8	Better than 83% of US hospitals
Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 990 cases	90	86	85.2	Better than 83% of US hospitals
Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 990 cases	78	74	73.24	Better than 72% of US hospitals
Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 990 cases	4	7	7.369	Better than 81% of US hospitals
Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 990 cases	18	19	19.39
Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 990 cases	81	77	76.95	Better than 71% of US hospitals
Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 990 cases	3	6	6.199	Better than 84% of US hospitals
Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 990 cases	16	17	16.85
Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 990 cases	86	85	84.2	Better than 53% of US hospitals
Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 990 cases	3	3	3.979	Better than 49% of US hospitals
Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 990 cases	11	11	11.82
Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 990 cases	5	8	8.937	Better than 73% of US hospitals
Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 990 cases	22	20	20.87
Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 990 cases	73	72	70.19	Better than 54% of US hospitals
Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 990 cases	91	88	87.19	Better than 77% of US hospitals
Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 990 cases	4	3	3.136	Better than 55% of US hospitals
Staff "always" explained new medications2024-10-01 to 2025-09-30 · 990 cases	77	74	73.94	Better than 66% of US hospitals
Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 990 cases	9	9	9.858	Better than 48% of US hospitals
Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 990 cases	14	16	16.2
Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 990 cases	79	75	74.61	Better than 75% of US hospitals
Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 990 cases	2	5	5.915	Better than 90% of US hospitals
Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 990 cases	19	20	19.48
Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 990 cases	79	77	76.32	Better than 63% of US hospitals
Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 990 cases	3	4	4.894	Better than 64% of US hospitals
Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 990 cases	18	19	18.79
Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 990 cases	88	86	84.9	Better than 62% of US hospitals
Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 990 cases	0	3	3.085	The best result, shared by 7% of US hospitals
Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 990 cases	12	11	12.01
"Always" quiet at night2024-10-01 to 2025-09-30 · 990 cases	57	59	59.03	Worse than 57% of US hospitals
"Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 990 cases	8	9	10.03	Better than 53% of US hospitals
"Usually" quiet at night2024-10-01 to 2025-09-30 · 990 cases	35	31	30.94
Quietness - linear mean score2024-10-01 to 2025-09-30 · 990 cases	83	82	81.16	Better than 56% of US hospitals
Quietness - star rating2024-10-01 to 2025-09-30 · 990 cases	4	3	3.237	Better than 56% of US hospitals
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 990 cases	3	5	6.753	Better than 70% of US hospitals
"YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 990 cases	76	71	68.65	Better than 65% of US hospitals
Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 990 cases	91	87	85.89	Better than 76% of US hospitals
"YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 990 cases	21	23	24.6
Recommend hospital - star rating2024-10-01 to 2025-09-30 · 990 cases	5	4	3.458	The top rating, shared by 24% of US hospitals
Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 990 cases	47	47	46.95	Worse than 47% of US hospitals
Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 990 cases	29	30	30.69	Better than 55% of US hospitals
Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 990 cases	24	22	22.36
Summary star rating2024-10-01 to 2025-09-30 · 990 cases	4	3	3.119	Better than 60% of US hospitals
No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 990 cases	11	12	13.09	Better than 59% of US hospitals
Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 990 cases	89	88	86.91	Better than 59% of US hospitals

Timely and effective care30 measures

How often the hospital gave recommended care, and how fast.

Measure	Alton Memorial Hospital	US median	IL average	US rank
Emergency department volume2024-01-01 to 2024-12-31	medium
Global Malnutrition Composite Score2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31	Not Available
Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31	Not Available
Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31	Not Available		8.656
Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31	Not Available		1.114
Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31	Not Available		0.2258
Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,924 cases	93	79	83.65	Better than 80% of US hospitals
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 401 cases	204	154	183	Worse than 79% of US hospitals
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 379 cases	196	148	175	Worse than 79% of US hospitals
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 13 cases	251	247	304	Worse than 52% of US hospitals
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30	Not Available		315
Left before being seen2024-01-01 to 2024-12-31 · 30,962 cases	3	1	2.469	Worse than 78% of US hospitals
Head CT results2024-10-01 to 2025-09-30 · 16 cases	100	74	78.84	The best result, shared by 3% of US hospitals
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 93 cases	100	97	94.09	The best result, shared by 27% of US hospitals
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31	Not Available		90
ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31	Not Available		40.38
Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 1,798 cases	16	15	15.81	Worse than 57% of US hospitals
Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 132 cases	42	65	62.57	Worse than 90% of US hospitals
Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 35 cases	23	73	71.03	Worse than 99% of US hospitals
Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30	Not Available		85.26
Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 132 cases	70	82	79.02	Worse than 85% of US hospitals
Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 71 cases	90	94	92.05	Worse than 72% of US hospitals
Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31	Not Available		97
Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31	Not Available		75.87
Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 89 cases	98	94	94.02	Better than 83% of US hospitals
Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 4,042 cases	89	90	81.77	Worse than 51% of US hospitals
Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 745 cases	98	97	94.61	Better than 56% of US hospitals

Outpatient imaging2 measures

How often scans were ordered when they may not be needed; lower is better.

Measure	Alton Memorial Hospital	US median	IL average	CMS comparison	US rank
Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30	5.5	5	6.493		Worse than 55% of US hospitals
Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30	4.7	6.6	7.806		Better than 75% of US hospitals

Medicare spending per patient1 measure

Medicare spending around an inpatient stay compared with the US (1 is the US median).

Measure	Alton Memorial Hospital	US median	IL average	CMS comparison	US rank
Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31	0.93	0.99	0.9996		Better than 78% of US hospitals

Value-based purchasing scores9 measures

The scores Medicare uses to raise or lower inpatient payments; higher is better.

Measure	Alton Memorial Hospital	US median	IL average	US rank
VBP clinical outcomes domain scoreFY 2026	38	20	28.09	Better than 80% of US hospitals
VBP clinical outcomes weighted domain scoreFY 2026	9.5	5	7.071	Better than 79% of US hospitals
VBP efficiency and cost reduction domain scoreFY 2026	40	10	13.71	Better than 77% of US hospitals
VBP efficiency and cost reduction weighted domain scoreFY 2026	10	2.5	3.521	Better than 76% of US hospitals
VBP person and community engagement domain scoreFY 2026	59	34	34.29	Better than 85% of US hospitals
VBP person and community engagement weighted domain scoreFY 2026	14.75	8.75	8.88	Better than 84% of US hospitals
VBP safety domain scoreFY 2026	55	40	36.66	Better than 74% of US hospitals
VBP safety weighted domain scoreFY 2026	13.75	10	9.377	Better than 73% of US hospitals
VBP total performance scoreFY 2026	48	29.5	28.2	Better than 92% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
VBP clinical outcomes domain score	36	44	35	26	28	38
VBP clinical outcomes weighted domain score	9	11	8.75	6.5	7	9.5
VBP efficiency and cost reduction domain score	40	Not Available	40	40	40	40
VBP efficiency and cost reduction weighted domain score	10	Not Available	10	10	10	10
VBP person and community engagement domain score	35	Not Available	Not Available	38	34	59
VBP person and community engagement weighted domain score	8.75	Not Available	Not Available	9.5	8.5	14.75
VBP safety domain score	34	Not Available	Not Available	46	50	55
VBP safety weighted domain score	8.5	Not Available	Not Available	11.5	12.5	13.75
VBP total performance score	36.25	Not Available	Not Available	37.5	38	48

Readmissions Reduction Program6 measures

Excess readmission ratios by condition; above 1 means more readmissions than expected.

Measure	Alton Memorial Hospital	US median	IL average	US rank
READM-30-AMI-HRRP2021-07-01 to 2024-06-30	1.006	0.9995	1.015	Worse than 55% of US hospitals
READM-30-CABG-HRRP2021-07-01 to 2024-06-30	N/A		1.026
READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 117 cases	0.9988	0.9969	1.009	Worse than 51% of US hospitals
READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 331 cases	1.118	0.9983	1.013	Worse than 97% of US hospitals
READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30	1.129	0.9916	1.055	Worse than 81% of US hospitals
READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 317 cases	1.096	0.9955	1.018	Worse than 91% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
READM-30-AMI-HRRP	1.03	1.05	1.048	1.009	1.015	1.006
READM-30-CABG-HRRP	N/A	N/A	N/A	N/A	N/A	N/A
READM-30-COPD-HRRP	1.041	1.034	1.011	0.9777	1.014	0.9988
READM-30-HF-HRRP	1.051	1.097	1.097	1.076	1.103	1.118
READM-30-HIP-KNEE-HRRP	1.233	1.259	1.07	1.008	0.9806	1.129
READM-30-PN-HRRP	1.042	1.019	1.034	1.067	1.136	1.096

Hospital-Acquired Condition Reduction Program8 measures

Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.

Measure	Alton Memorial Hospital	US median	IL average	US rank
CAUTI standardized infection ratio2023-01-01 to 2024-12-31	0.267	0.489	0.5958	Better than 73% of US hospitals
CDI standardized infection ratio2023-01-01 to 2024-12-31	0.592	0.346	0.436	Worse than 81% of US hospitals
CLABSI standardized infection ratio2023-01-01 to 2024-12-31	0.166	0.559	0.7638	Better than 83% of US hospitals
HAC Reduction Program payment reductionFY 2026	No
MRSA standardized infection ratio2023-01-01 to 2024-12-31	0	0.6405	0.6364	The best result, shared by 12% of US hospitals
Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30	0.8026	0.9628	0.9883	Better than 93% of US hospitals
SSI standardized infection ratio2023-01-01 to 2024-12-31	0.372	0.7945	0.9041	Better than 77% of US hospitals
Total HAC scoreFY 2026	-0.74	-0.0453	0.07842	Better than 89% of US hospitals

By fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026
HAC Reduction Program payment reduction	No	No	N/A	No	No	No
Total HAC score	0.0839	-0.0788	0	-0.319	-0.5848	-0.74

Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.

Accreditation and services

The Joint Commission (since 2016)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
194
Medicare-certified beds
170
Registered nurses (full-time equivalent)
1966
In Medicare since

25 services at Alton Memorial Hospital

Emergency and trauma: Emergency Department
Intensive care: Coronary Care UnitSurgical ICU (Medical Surgical Intensive Care Unit)
Surgery: AnesthesiaInpatient SurgicalOR (Operating Room)Outpatient SurgeryPostoperative Recovery Room
Imaging: Diagnostic RadiologyNuclear MedicineTherapeutic Radiology
Transplant and dialysis: Acute Renal Dialysis
Women and children: Clinical LaboratoryObstetrics / Child BirthPediatric Care
Behavioral health: Adult Inpatient Psychiatric CareAlcohol and/or Drug Service
Rehabilitation and therapy: OT (Occupational Therapy)PT (Physical Therapy)Respiratory CareSpeech Pathology
Other services: Dietary CareOutpatientPharmacySocial Care

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Alton Memorial Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

8,405
Inpatient discharges
Medicare 23%, Medicaid 3%
31,144
Inpatient days
66% of available bed days used
649
Employees (full-time equivalent)
16
Interns and residents (full-time equivalent)

Source: CMS cost report (HCRIS) (report 836351). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Alton Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	8,951	535	21,658	31,144
Discharges	1,912	281	6,212	8,405
Average length of stay	4.7 days	1.9 days	3.5 days	3.7 days
Average daily census	24.5	1.5	59.3	85.3

10,953
Medicare Advantage days
2,147 discharges
5,553
Medicaid managed care days
1,522 discharges
436
Observation bed days

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	118	27,609	8,711	64%
Intensive care unit	12	2,012	240	46%
Nursery		1,523

Source: CMS cost report (HCRIS, Form 2552-10), report 836351, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Medicare inpatient stays

What Alton Memorial Hospital treats Medicare patients for most often, in 2024. 1,229 Medicare discharges in 44 published DRGs; 7% surgical; 71% in DRGs with complications (CC or MCC).

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	152	$45,438	$8,744	$12,041	1.28
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical	119	$53,451	$13,170	$14,164	1.98
Respiratory infections and inflammations with MCCMS-DRG 177, medical	60	$47,335	$10,185	$12,544	1.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	55	$50,313	$8,032	$13,333	1.33
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	54	$27,447	$5,113	$7,273	0.79
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	44	$45,290	$7,198	$12,002	1.10
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	42	$35,916	$9,230	$9,518	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	37	$25,967	$4,893	$6,881	0.78
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical	35	$64,101	$12,902	$16,987	1.88
Renal failure with CCMS-DRG 683, medical	35	$35,362	$6,385	$9,371	0.90
Kidney and urinary tract infections without MCCMS-DRG 690, medical	34	$26,004	$5,044	$6,891	0.81
Pulmonary edema and respiratory failureMS-DRG 189, medical	29	$40,748	$8,517	$10,798	1.23
Kidney and urinary tract infections with MCCMS-DRG 689, medical	29	$33,970	$7,867	$9,002	1.17
Cellulitis without MCCMS-DRG 603, medical	26	$24,484	$5,926	$6,488	0.88
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	26	$30,664	$6,580	$8,126	1.03
Syncope and collapseMS-DRG 312, medical	24	$29,690	$5,822	$7,868	0.86
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	23	$29,978	$4,345	$7,944	0.74
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	23	$47,993	$11,372	$12,718	1.65
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	23	$101,537	$34,311	$26,907	5.00
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	21	$35,196	$6,629	$9,327	0.98

See all 44 Medicare inpatient DRGs at Alton Memorial Hospital

Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.

Medicare outpatient services

The comprehensive outpatient service groups (APCs) Alton Memorial Hospital billed Medicare for most in 2024: 1,082 services in all.

Service group	Services	Patients	Average charges	Average Medicare payment	US average payment
Level 5 Musculoskeletal ProceduresAPC 5115	202	190	$48,141	$10,370	$10,772
Comprehensive Observation ServicesAPC 8011	108	106	$16,178	$1,941	$2,090
Level 1 Endovascular ProceduresAPC 5191	94	94	$14,448	$2,119	$2,208
Level 1 Nerve ProceduresAPC 5431	81	76	$13,997	$1,420	$1,407
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	71	57	$10,043	$1,190	$1,220
Level 1 Laparoscopy and Related ServicesAPC 5361	66	64	$23,131	$4,120	$4,358
Level 3 Musculoskeletal ProceduresAPC 5113	51	51	$19,504	$2,337	$2,373
Level 4 Musculoskeletal ProceduresAPC 5114	43	41	$33,998	$5,268	$5,339
Level 2 Upper GI ProceduresAPC 5302	41	36	$6,625	$1,412	$1,445
Level 3 Vascular ProceduresAPC 5183	40	40	$17,210	$2,230	$2,405

See all 24 Medicare outpatient services at Alton Memorial Hospital

Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.

Where patients come from

ZIP codes with the most Medicare inpatient stays at Alton Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 3,544 in 2020 to 3,929 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
62002	1,055	27%	4,808	$51.8M	46%	48%
62035	555	14%	2,820	$28.5M	48%	46%
62095	421	11%	1,952	$22.3M	51%	54%
62024	410	10%	2,047	$20.6M	55%	51%
62010	339	9%	1,592	$17.4M	55%	56%
62012	161	4%	670	$7.5M	49%	55%
62025	147	4%	750	$8M	10%	8%
62052	132	3%	546	$6.3M	24%	16%
62018	87	2%	516	$4.9M	58%	59%
62040	85	2%	425	$4.4M	3%	2%
62014	79	2%	356	$4.1M	40%	42%
62067	71	2%	375	$3.7M	57%	78%
62087	51	1%	208	$2.2M	65%	66%
62037	40	1%	167	$1.8M	55%	60%
62084	40	1%	154	$1.7M	58%	76%
62021	35	1%	133	$1.5M	76%	66%
62048	33	1%	152	$1.7M	52%	69%
62685	32	1%	148	$1.8M	65%	65%
62022	23	1%	105	$984,170	66%	100%
62034	19	0%	62	$726,165	3%
62016	18	0%	106	$1.4M	10%	13%
62063	17	0%	55	$624,775	100%	56%
62097	16	0%	60	$653,317	22%	21%
62033	15	0%	51	$626,148	5%
62088	14	0%	54	$664,507	4%

Source: CMS Hospital Service Area file. Shares are of the 3,929 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.

Staff and facilities

Staff by profession and the rooms and units Alton Memorial Hospital reported at its latest Medicare certification survey (2007). Counts are people, not full-time equivalents.

20
Psychiatric unit beds

170
Registered nurses
33
Licensed practical nurses
8
Pharmacists
54
Respiratory therapists
4
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
3
Social workers
317
Other personnel

Source: CMS Provider of Services file.

Doctors and clinicians

469 clinicians who bill Medicare list Alton Memorial Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.

Family Medicine Physician 47
Internal Medicine Physician 40
Diagnostic Radiology Physician 27
Radiation Oncology Physician 20
Urology Physician 20
Cardiovascular Disease Physician 19
Hospitalist Physician 18
Gastroenterology Physician 17
Emergency Medicine Physician 16
Nephrology Physician 16

Sona Kamat, M.D.
Rheumatology Physician
NPI 1407896129
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John Visconti, DO
Medical Oncology Physician
NPI 1033167846
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Travis Bullock, MD
Urology Physician
NPI 1699810507
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Mwiza Ushe, MD
Neurology Physician
NPI 1225236300
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Ying Du, M.D.
Rheumatology Physician
NPI 1295725182
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Wynndel Buenger, MD
Pain Medicine Physician
NPI 1336257245
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Elizabeth Williams, MD
Urology Physician
NPI 1790802429
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John Stirton, MD
Orthopaedic Surgery Physician
NPI 1851598429
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Mckenzie Youngblood, PA-C
Physician Assistant
NPI 1063010924
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Mary Stuart
Physician Assistant
NPI 1417372772
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Lyndsi Sievers, PA-C
Physician Assistant
NPI 1750716726
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Michael Friedman, MD
Diagnostic Radiology Physician
NPI 1871742924
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Seth Strope, MD
Urology Physician
NPI 1427109248
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Louba Laurie, MD
Diagnostic Radiology Physician
NPI 1124067798
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Jacob Ark, M.D.
Urology Physician
NPI 1891053716
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Mark Schroeder, MD
Medical Oncology Physician
NPI 1255544680
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Sundeep Das, M.D.
Interventional Cardiology Physician
NPI 1548274749
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Tiffany Dube, M.D. PH.D..
Diagnostic Radiology Physician
NPI 1225285950
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Casey Newgent, PA
Physician Assistant
NPI 1386989549
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Gregory Auffenberg, M.D., M.S.
Urology Physician
NPI 1396977328
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Louis Aliperti, M.D.
Urology Physician
NPI 1861810350
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Lara Dennis, M.D.
Diagnostic Radiology Physician
NPI 1538272547
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Foluso Ademuyiwa, MD
Medical Oncology Physician
NPI 1083875538
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Saad Bitar, MD
Cardiovascular Disease Physician
NPI 1598758583
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Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.

Income statement

Revenue, expenses and income Alton Memorial Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$872.8M	400.8%
Inpatient	$316.4M	145.3%
Outpatient	$556.4M	255.5%
Contractual allowances and discounts	-$655.1M	-300.8%
Net patient revenue	$217.8M	100.0%
Operating expenses	-$215.8M	-99.1%
Operating income from patient care	$2M	0.9%
Other income	$7.1M	3.3%
Contributions and donations	$813,368	0.4%
Other	$6.3M	2.9%
Other expenses	-$23.7M	-10.9%
Net income	-$14.6M	-6.7%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$159.7M	19.1%
Medicaid (including managed care)	$127M	15.2%
Other payers and self-pay	$548.4M	65.7%
Total charges	$835.2M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 836351, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.

Financial ratios

Computed from Alton Memorial Hospital's latest cost report.

0.9%
Operating margin
Operating income from patient care / net patient revenue
-6.5%
Total margin
Net income / net patient revenue plus other income
-2.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.45
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-14.2%
Return on assets
Net income for a year / total assets
-18.3%
Return on equity
Net income for a year / fund balance
1.34
Current ratio
Current assets / current liabilities
1.12
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
39 days
Days in patient receivables
Net patient receivables / daily net patient revenue
37 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.19
Asset turnover
Total revenue for a year / total assets
18.5 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 836351, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Alton Memorial Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $102.7M in total assets and a $79.8M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$258,574	0.3%
Patient receivables, net	$23.3M	22.7%
Total current assets	$28.2M	27.4%
Property and equipment, net of depreciation	$64.5M	62.8%
Investments and other assets	$10.1M	9.8%
Total assets	$102.7M	100.0%
Current liabilities	$21M	20.4%
Total liabilities	$22.9M	22.3%
Fund balance (net assets)	$79.8M	77.7%

Source: CMS cost report (HCRIS, Form 2552-10), report 836351, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Alton Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.

$6.9M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.1M
Bad debt
Patient bills written off as uncollectible, at charges
$11.6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$12.1M
Total unreimbursed and uncompensated care
5.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)

Source: CMS cost report (HCRIS, Form 2552-10), report 836351, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Alton Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024	Dec 2025
Net patient revenue	$141.9M	$162M	$175.8M	$187.2M	$199M	$217.8M
Operating expenses	$146.7M	$155.1M	$174.1M	$185.5M	$189.4M	$215.8M
Operating margin	-3.4%	4.3%	0.9%	0.9%	4.8%	0.9%
Net income	-$8.2M	-$148,460	-$10.9M	-$13M	-$3.9M	-$14.6M
Total assets	$93.5M	$96.6M	$90.8M	$95.5M	$99.7M	$102.7M
Discharges	6,408	6,326	7,438	7,898	8,283	8,405
Inpatient days	27,623	28,894	29,079	27,936	29,801	31,144
Medicare Advantage days	6,343	8,233	9,522	9,038	10,004	10,953
Beds	129	121	124	121	122	130
Employees (FTE)	708	715	779	806	757	649

Source: CMS cost report (HCRIS, Form 2552-10), report 836351, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Alton Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 43 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$4.3M	$13.4M	$67.8M	0.20	20,705
Emergency	$5.7M	$13.2M	$138.4M	0.10	16,626
Laboratory	$2M	$10.3M	$88.4M	0.12	14,381
Drugs charged to patients		$10M	$13.2M	0.76
Impl. dev. charged to patients		$9.8M	$22.6M	0.43
Radiology-diagnostic	$3.6M	$9.5M	$72M	0.13	10,919
Medical supplies charged to patient		$9.1M	$19.4M	0.47
Ambulance services	$2.8M	$7.2M	$21.9M	0.33	976
Physical therapy	$2.4M	$5.2M	$12.5M	0.41	5,425
Respiratory therapy	$2.1M	$4.3M	$21M	0.20	1,542
Blood storing processing & trans.	$265,983	$4M	$8.6M	0.47	364
Gastro intestinal services	$1.2M	$3.5M	$14.4M	0.24	3,422
Electrocardiology	$1.4M	$3.5M	$59.8M	0.06	5,052
Cardiac catheterization	$1.1M	$2.8M	$19.5M	0.14	1,761
Ct scan	$815,897	$2.4M	$63.6M	0.04	569
Recovery room	$479,699	$1.9M	$17.5M	0.11	3,381
Occupational therapy	$879,108	$1.8M	$5.8M	0.31	1,461
Mri	$628,905	$1.4M	$18.5M	0.08	4,807
Renal dialysis		$987,485	$3.3M	0.30	280
Speech pathology	$416,064	$846,121	$3.2M	0.27	500
Radioisotope	$228,232	$814,967	$1.8M	0.46	1,001
Observation beds (non-distinct part		$733,531	$5.2M	0.14
Oncology & pain management	$344,500	$697,859	$11M	0.06	1,777
Anesthesiology	$122,529	$668,787	$17.7M	0.04	244
Hyperbaric oxygen therapy		$540,204	$1.4M	0.39

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$20.4M	$47.2M	$82.4M	0.57	54,873
Intensive care unit	$2.7M	$6.5M	$18.9M	0.34	5,488
Nursery		$2.4M	$5.3M	0.46

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$3.9M	$49.5M	350,964	$11.21	25,446
Pharmacy	$2.4M	$7.1M	37,824	$62.20	2,770
Cap rel costs-mvble equip		$6.2M
Operation of plant	$1M	$6.2M	25,553	$39.75	175,706
Dietary	$71,474	$4.4M	3,579	$19.97	10,795
Cap rel costs-bldg & fixt		$3.9M			448,760
Housekeeping	$1.8M	$3M	73,872	$24.08	2,601
Nursing administration	$1.5M	$1.9M	12,495	$118.89	495
I&r services-other prgm costs apprv		$1.8M
Social service	$1.1M	$1.5M	18,422	$59.21	524
Central services & supply	$461,223	$1.5M	13,452	$34.29	4,456
I&r services-salary & fringes apprv	$1.2M	$1.2M
Laundry & linen service		$823,664			1,100
Employee benefits department		$280,896			1,000
Cafeteria		-$630,835			4,668

Source: CMS cost report (HCRIS, Form 2552-10), report 836351, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.

Medicare payment profile

The factors Medicare uses to set what it pays Alton Memorial Hospital for an inpatient stay.

1.43
Case mix index
Higher than 20% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.13 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
25.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,913
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).

Show FY 2021 to FY 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	1.47	1.47	1.61	1.60	1.50	1.50	1.43
Wage index	0.915	0.942	0.934	0.976	1.071	1.081	1.172
Readmissions adjustment	-2.65%	-2.14%	-2.31%	-0.81%	-0.66%	-1.18%	-1.38%
Value-based purchasing adjustment	+0.50%	+0.33%	+0.33%	+1.66%	+1.56%	+1.40%	+1.31%
Medicare inpatient stays	2,587	2,587	2,091	1,831	1,892	1,834	1,913

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About Alton Memorial Hospital's rates and hospital price transparency.

How much does a CT scan cost at Alton Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Alton Memorial Hospital range from $278 to $916 across 4 insurers. UnitedHealthcare's rate is $278. The median at nearby comparable hospitals is $693. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Alton Memorial Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Alton Memorial Hospital range from $983 to $3,983 across 4 insurers. Cigna's rate is $2,490. The median at nearby comparable hospitals is $2,232. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Alton Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Alton Memorial Hospital range from $4,560 to $9,849 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $9,849. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Alton Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Alton Memorial Hospital range from $87 to $317 across 4 insurers. Cigna's rate is $317. The median at nearby comparable hospitals is $150. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Alton Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Alton Memorial Hospital range from $14,477 to $32,825 across 4 insurers. Aetna's rate is $24,702. The median at nearby comparable hospitals is $21,807. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Alton Memorial Hospital's CMS star rating?

Alton Memorial 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 Alton Memorial Hospital a teaching hospital?

Yes. CMS counts 0.13 Medicare-funded residents per bed at Alton Memorial Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Alton Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Alton Memorial Hospital's base inpatient payments by an estimated 1.38% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Alton Memorial Hospital?

In 2024, the most common were heart failure and shock with mcc (152 discharges), septicemia or severe sepsis without mv >96 hours with mcc (119 discharges), respiratory infections and inflammations with mcc (60 discharges).

What is Alton Memorial Hospital's case mix index?

Alton Memorial Hospital's Medicare case mix index is 1.43 for fiscal year 2027, higher than 20% of hospitals paid under the inpatient prospective payment system.

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{
  "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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About this hospital

Prices for common services

How the insurers pay at Alton Memorial Hospital

Insurance Accepted

More about this hospital

Tax IDs and NPIs insurers list

Location

Quality ratings (CMS Care Compare)

Medicare quality penalties and bonuses

Every CMS quality measure

Accreditation and services

25 services at Alton Memorial Hospital

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Medicare inpatient stays

Medicare outpatient services

Where patients come from

Staff and facilities

Doctors and clinicians

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

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Leadership

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Programs and facilities

Comparable hospitals nearby

Frequently asked questions

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