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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Ascension Saint Joseph Elgin

Ascension Health · Elgin, IL

77 North Airlite Street, Elgin, IL 60123(847) 695-3200

4 of 5

CMS star rating

145

Beds

3,727

Inpatient discharges a year

$86.5M

Net patient revenue a year

41

In-network payers

About this hospital

Ascension Saint Joseph Elgin is a 145-bed voluntary non-profit - church hospital in Elgin, IL, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 370 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
140217
NPI
1598845828
Health system
Ascension Health
Teaching
No Medicare-funded residents
County
Kane County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1978
Last CMS survey
1995

Prices for common services

The 24 services Ascension Saint Joseph Elgin 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

$5,432 - $7,359

from 3 insurers · median $6,921

Cigna$5,432
Insurer A*$6,921
Insurer B*$7,359

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

$6,242 - $9,867

from 3 insurers · median $8,628

Cigna$6,242
Insurer A*$8,628
Insurer B*$9,867

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 · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$15,507 - $19,951

from 3 insurers · median $18,919

BCBS Illinois$18,919
Insurer A*$15,507
Insurer B*$19,951
Medicare $12,274Nearby hospitals $22,58516% below nearby hospitals

21 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$5,432 - $7,359

from 3 insurers · median $6,921

Cigna$5,432
Insurer A*$6,921
Insurer B*$7,359

CMS lists this service as CPT 59610, 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

How the insurers pay at Ascension Saint Joseph Elgin

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*19
278%
514
Insurer B*24
144%
514
Insurer C*22
113%
415
Insurer D*24
84%
113

How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ascension Saint Joseph Elgin, or start a free trial.

Insurance Accepted

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

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

More about this hospital

  • Quality

    4 of 5 stars

    • 139 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.17%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

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

    $86.5M net patient revenue

    • Operating margin on patient care -32.9%
    • $13.3M unreimbursed and uncompensated care
    • -$26.4M net income
    See finances
  • Ownership and leadership

    Owned by Prime Healthcare Holdings Inc

    • Church
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-4195126(multi-state) Presence St Marys Hospital Presence Central And Suburban Hospitals Net57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1487715645 Presence Central And Suburban Hospitals Network1598845828 Presence Central And Suburban Hospitals Network1770678260 Presence Central And Suburban Hospitals Networkand 37 more
99-2115457Saint Joseph Hospital Elgin LLC13Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Avera Health Plans and 8 more1922846351 Saint Joseph Hospital - Elgin LLC1205645082 Saint Joseph Hospital - Elgin LLC1538978309 Saint Joseph Hospital - Elgin LLCand 4 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

77 North Airlite Street, Elgin, IL 60123

(847) 695-3200

Get directions

Frequently asked questions

About Ascension Saint Joseph Elgin's rates and hospital price transparency.

How much does an MRI cost at Ascension Saint Joseph Elgin?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ascension Saint Joseph Elgin range from $299 to $2,668 across 4 insurers. Aetna's rate is $1,451. The median at nearby comparable hospitals is $1,983. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Ascension Saint Joseph Elgin?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ascension Saint Joseph Elgin range from $250 to $1,556 across 4 insurers. Aetna's rate is $989. The median at nearby comparable hospitals is $1,097. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Ascension Saint Joseph Elgin?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Ascension Saint Joseph Elgin range from $1,026 to $1,755 across 4 insurers. UnitedHealthcare's rate is $1,026. The median at nearby comparable hospitals is $3,042. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Ascension Saint Joseph Elgin?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ascension Saint Joseph Elgin range from $5,432 to $7,359 across 3 insurers. Cigna's rate is $5,432. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Ascension Saint Joseph Elgin?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ascension Saint Joseph Elgin range from $94 to $477 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $431. The median at nearby comparable hospitals is $289. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Ascension Saint Joseph Elgin?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Ascension Saint Joseph Elgin range from $15,507 to $19,951 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $18,919. The median at nearby comparable hospitals is $22,585. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Ascension Saint Joseph Elgin's CMS star rating?

Ascension Saint Joseph Elgin 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 Ascension Saint Joseph Elgin a teaching hospital?

CMS reports no Medicare-funded interns or residents at Ascension Saint Joseph Elgin for fiscal year 2027.

Does Medicare penalize Ascension Saint Joseph Elgin for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Ascension Saint Joseph Elgin's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Ascension Saint Joseph Elgin?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (110 discharges), psychoses (49 discharges), heart failure and shock with mcc (42 discharges).

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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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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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