PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Private

Amita Health Adventist Medical Center Hinsdale

AMITA Health System · Hinsdale, IL

120 North Oak Street, Hinsdale, IL 60521

5 of 5

CMS star rating

246

Beds

11,280

Inpatient discharges a year

$412.6M

Net patient revenue a year

39

In-network payers

About this hospital

Amita Health Adventist Medical Center Hinsdale is a 246-bed voluntary non-profit - private hospital in Hinsdale, IL, affiliated with AMITA Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 360 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • ACO participant
CCN
140122
NPI
1265465439
Health system
AMITA Health System
Teaching
Teaching hospital
County
DuPage County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1966
Last CMS survey
2021

Prices for common services

The 24 services Amita Health Adventist Medical Center Hinsdale 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

$4,652 - $7,500

from 4 insurers · median $6,535

Cigna$4,652
Insurer A*$6,417
Insurer B*$6,653
Insurer C*$7,500

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

$7,977 - $10,000

from 4 insurers · median $9,591

Cigna$7,977
Insurer A*$9,216
Insurer B*$9,965
Insurer C*$10,000

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

$1,626 - $4,575

from 4 insurers · median $3,730

UnitedHealthcare$3,383
Insurer A*$1,626
Insurer B*$4,076
Insurer C*$4,575
Medicare $3,247Nearby hospitals $4,45916% below nearby hospitals

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$449 - $2,666

from 4 insurers · median $1,275

Aetna$1,339
Insurer A*$449
Insurer B*$1,210
Insurer C*$2,666
Medicare $350Nearby hospitals $81856% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Amita Health Adventist Medical Center Hinsdale

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*22
317%
145
Insurer B*24
316%
163
Insurer C*24
160%
77
Insurer D*24
126%
415

How we chose these services: 6 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 4 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 Amita Health Adventist Medical Center Hinsdale, 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

    5 of 5 stars

    • 193 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.01%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 43 services, including trauma care
    • 881 affiliated clinicians
    See doctors and services
  • Finances

    $412.6M net patient revenue

    • Operating margin on patient care -5.1%
    • $20M unreimbursed and uncompensated care
    • -$11.5M net income
    See finances
  • Ownership and leadership

    Owned by Adventist Midwest Health

    • Private (not for profit)
    • Elise Maccarroll-Wright, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Amita Health Adventist Medical Center Hinsdale in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-2276984Adventist Hinsdale Hospital66Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 61 more1265465439 Adventist Midwest Health1821020132 Adventist Midwest Health1457397317 Adventist Midwest Healthand 23 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

120 North Oak Street, Hinsdale, IL 60521

Get directions

Frequently asked questions

About Amita Health Adventist Medical Center Hinsdale's rates and hospital price transparency.

How much does an MRI cost at Amita Health Adventist Medical Center Hinsdale?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Amita Health Adventist Medical Center Hinsdale range from $587 to $1,953 across 4 insurers. Cigna's rate is $587. The median at nearby comparable hospitals is $994. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Amita Health Adventist Medical Center Hinsdale?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Amita Health Adventist Medical Center Hinsdale range from $449 to $2,666 across 4 insurers. Aetna's rate is $1,339. The median at nearby comparable hospitals is $818. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Amita Health Adventist Medical Center Hinsdale?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Amita Health Adventist Medical Center Hinsdale range from $1,423 to $3,860 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $1,859. The median at nearby comparable hospitals is $1,820. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Amita Health Adventist Medical Center Hinsdale?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Amita Health Adventist Medical Center Hinsdale range from $4,652 to $7,500 across 4 insurers. Cigna's rate is $4,652. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Amita Health Adventist Medical Center Hinsdale?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Amita Health Adventist Medical Center Hinsdale range from $154 to $428 across 4 insurers. Aetna's rate is $386. The median at nearby comparable hospitals is $200. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Amita Health Adventist Medical Center Hinsdale's CMS star rating?

Amita Health Adventist Medical Center Hinsdale has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Amita Health Adventist Medical Center Hinsdale a teaching hospital?

Yes. CMS counts 0.12 Medicare-funded residents per bed at Amita Health Adventist Medical Center Hinsdale for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Amita Health Adventist Medical Center Hinsdale for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Amita Health Adventist Medical Center Hinsdale's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Amita Health Adventist Medical Center Hinsdale?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (253 discharges), heart failure and shock with mcc (97 discharges), kidney and urinary tract infections with mcc (54 discharges).

What is Amita Health Adventist Medical Center Hinsdale's case mix index?

Amita Health Adventist Medical Center Hinsdale's Medicare case mix index is 2.10 for fiscal year 2027, higher than 84% 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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster