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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Anderson Hospital

Community Memorial Hospital Association · Maryville, IL

6800 State Route 162, Maryville, IL 62062(618) 288-5711

3 of 5

CMS star rating

144

Beds

6,476

Inpatient discharges a year

$212.2M

Net patient revenue a year

34

In-network payers

About this hospital

Anderson Hospital is a 144-bed voluntary non-profit - private hospital in Maryville, IL, affiliated with Community Memorial Hospital Association. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 347 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
140289
NPI
1053481630
Health system
Community Memorial Hospital Association
Teaching
No Medicare-funded residents
County
Madison County
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1976
Last CMS survey
2012

Prices for common services

The 24 services Anderson 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

$4,956 - $7,716

from 4 insurers · median $5,314

Cigna$5,508
Insurer A*$4,956
Insurer B*$5,121
Insurer C*$7,716

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,011 - $6,773

from 3 insurers · median $5,030

Aetna$6,773
Insurer A*$2,011
Insurer B*$5,030
Medicare $3,176Nearby hospitals $6,60924% below nearby hospitals

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,961 - $11,824

from 4 insurers · median $7,707

Cigna$7,832
Insurer A*$6,961
Insurer B*$7,582
Insurer C*$11,824

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

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$3,281 - $8,326

from 3 insurers · median $7,450

Aetna$7,450
Insurer A*$3,281
Insurer B*$8,326
Medicare $5,931Nearby hospitals $7,313In line with nearby hospitals

74 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Anderson 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*16
569%
85
Insurer B*24
205%
711
Insurer C*24
173%
1110
Insurer D*24
152%
310

How we chose these services: 8 appear in this hospital's own Medicare claims, 12 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 Anderson 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    3 of 5 stars

    • 231 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.64%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 37 services
    • 419 affiliated clinicians
    See doctors and services
  • Finances

    $212.2M net patient revenue

    • Operating margin on patient care 4.3%
    • $6.3M unreimbursed and uncompensated care
    • $26.8M net income
    See finances
  • Ownership and leadership

    Owned by Anderson Healthcare

    • Private (not for profit)
    • Lisa Spencer, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Anderson 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
37-0662561Anderson Hospital57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1053481630 Anderson Hospital1629056056 Anderson Hospital1669539623 Anderson Hospitaland 2 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

6800 State Route 162, Maryville, IL 62062

(618) 288-5711

Get directions

Frequently asked questions

About Anderson Hospital's rates and hospital price transparency.

How much does an MRI cost at Anderson Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Anderson Hospital range from $542 to $4,244 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $542. The median at nearby comparable hospitals is $628. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Anderson Hospital?

For CT head or brain without contrast (CPT 70450), published negotiated rates at Anderson Hospital range from $162 to $1,864 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $162. The median at nearby comparable hospitals is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Anderson Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Anderson Hospital range from $1,684 to $3,411 across 3 insurers. UnitedHealthcare's rate is $1,693. The median at nearby comparable hospitals is $1,941. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Anderson Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Anderson Hospital range from $4,956 to $7,716 across 4 insurers. Cigna's rate is $5,508. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Anderson Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Anderson Hospital range from $13,490 to $22,692 across 4 insurers. Aetna's rate is $13,490. The median at nearby comparable hospitals is $25,463. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Anderson Hospital's CMS star rating?

Anderson Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Anderson Hospital a teaching hospital?

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

Does Medicare penalize Anderson Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Anderson Hospital's base inpatient payments by an estimated 0.64% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Anderson Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (145 discharges), heart failure and shock with mcc (111 discharges), simple pneumonia and pleurisy with mcc (82 discharges).

What is Anderson Hospital's case mix index?

Anderson Hospital's Medicare case mix index is 1.45 for fiscal year 2027, higher than 22% 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
  • Refreshed when your contracts change
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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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  • 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
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