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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Amita Health Adventist Medical Center La Grange

AMITA Health System · La Grange, IL

5101 South Willow Spring Road, La Grange, IL 60525

5 of 5

CMS star rating

177

Beds

7,859

Inpatient discharges a year

$243M

Net patient revenue a year

34

In-network payers

About this hospital

Amita Health Adventist Medical Center La Grange is a 177-bed voluntary non-profit - church hospital in La Grange, IL, affiliated with AMITA Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 327 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • ACO participant
CCN
140065
NPI
1407889652
Health system
AMITA Health System
Teaching
Teaching hospital
County
Cook 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
2005

Prices for common services

The 24 services Amita Health Adventist Medical Center La Grange 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

$6,417 - $7,151

from 4 insurers · median $6,784

Aetna$7,003
Insurer A*$6,417
Insurer B*$6,566
Insurer C*$7,151

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$18,786 - $20,178

from 3 insurers · median $19,872

Aetna$19,872
Insurer A*$18,786
Insurer B*$20,178
Medicare $12,156Nearby hospitals $23,36515% below nearby hospitals

102 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,068 - $10,736

from 4 insurers · median $9,277

Aetna$9,068
Insurer A*$9,216
Insurer B*$9,338
Insurer C*$10,736

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$449 - $2,656

from 4 insurers · median $1,133

BCBS Illinois$2,656
Insurer A*$449
Insurer B*$1,056
Insurer C*$1,210
Medicare $355Nearby hospitals $81839% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Amita Health Adventist Medical Center La Grange

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*24
403%
182
Insurer B*22
340%
162
Insurer C*24
210%
713
Insurer D*24
145%
416

How we chose these services: 4 appear in this hospital's own Medicare claims, 16 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 La Grange, 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

    • 163 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.37%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 36 services, including trauma care
    • 721 affiliated clinicians
    See doctors and services
  • Finances

    $243M net patient revenue

    • Operating margin on patient care -6.0%
    • $16.9M unreimbursed and uncompensated care
    • -$10.2M net income
    See finances
  • Ownership and leadership

    Owned by Adventist Midwest Health

    • Church
    • Dave Tkachuck, 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 La Grange in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
37-1762682Adventist La Grange Memorial Hospital59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1407889652 Adventist Midwest Health1912353822 Adventist Midwest Health1588068274 Adventist Midwest Healthand 25 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

5101 South Willow Spring Road, La Grange, IL 60525

Get directions

Frequently asked questions

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

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

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Amita Health Adventist Medical Center La Grange range from $587 to $2,973 across 4 insurers. UnitedHealthcare's rate is $1,210. 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 La Grange?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Amita Health Adventist Medical Center La Grange range from $449 to $2,656 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $2,656. 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 La Grange?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Amita Health Adventist Medical Center La Grange range from $1,423 to $4,400 across 4 insurers. Cigna's rate is $1,423. 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 La Grange?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Amita Health Adventist Medical Center La Grange range from $6,417 to $7,151 across 4 insurers. Aetna's rate is $7,003. 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 La Grange?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Amita Health Adventist Medical Center La Grange range from $154 to $539 across 4 insurers. UnitedHealthcare's rate is $210. The median at nearby comparable hospitals is $200. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Amita Health Adventist Medical Center La Grange?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Amita Health Adventist Medical Center La Grange range from $18,786 to $20,178 across 3 insurers. Aetna's rate is $19,872. The median at nearby comparable hospitals is $23,365. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

Amita Health Adventist Medical Center La Grange 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 La Grange a teaching hospital?

Yes. CMS counts 0.11 Medicare-funded residents per bed at Amita Health Adventist Medical Center La Grange for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Amita Health Adventist Medical Center La Grange for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Amita Health Adventist Medical Center La Grange's base inpatient payments by an estimated 0.37% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (305 discharges), heart failure and shock with mcc (138 discharges), septicemia or severe sepsis without mv >96 hours without mcc (72 discharges).

For hospital finance and compliance teams

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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.

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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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