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Short Term Acute Care HospitalGovernment - Local

Cgh Medical Center

CGH Medical Center · Sterling, IL

100 East Lefevre Road, Sterling, IL 61081(815) 625-0400

1 of 5

CMS star rating

95

Beds

4,534

Inpatient discharges a year

$360.4M

Net patient revenue a year

32

In-network payers

About this hospital

Cgh Medical Center is a 95-bed government - local hospital in Sterling, IL, affiliated with CGH Medical Center. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 182 disclosed rate categories.

  • Rural referral center
  • Medicare-dependent hospital
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
140043
NPI
1902854623
Website
cghmc.com
Health system
CGH Medical Center
Teaching
No Medicare-funded residents
County
Whiteside County
Metro area
Sterling, IL MicroSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2009

Prices for common services

The 24 services Cgh Medical Center 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.

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$912 - $32,062

from 4 insurers · median $24,390

BCBS Illinoisest.$22,444
Insurer A*$912
Insurer B*est.$26,337
Insurer C*est.$32,062
Medicare $3,204Nearby hospitals $4,836404% above nearby hospitals

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$370 - $6,871

from 4 insurers · median $2,593

Aetna$375
Insurer A*$370
Insurer B*est.$4,810
Insurer C*est.$6,871
Medicare $345Nearby hospitals $3,32322% below nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$455 - $15,382

from 3 insurers · median $14,346

Aetna$455
Insurer A*est.$14,346
Insurer B*est.$15,382
Medicare $898Nearby hospitals $2,699432% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$238 - $5,552

from 4 insurers · median $4,476

UnitedHealthcareest.$5,552
Insurer A*$238
Insurer B*est.$3,887
Insurer C*est.$5,065
Medicare $541Nearby hospitals $1,896136% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Cgh Medical Center

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*17
798%
161
Insurer B*23
742%
220
Insurer C*23
718%
82
Insurer D*19
135%
712

How we chose these services: 5 appear in this hospital's own Medicare claims, 15 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 Cgh Medical Center, 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 HealthCenteneGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    1 of 5 stars

    • 198 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.11%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 31 services
    • 319 affiliated clinicians
    See doctors and services
  • Finances

    $360.4M net patient revenue

    • Operating margin on patient care 1.8%
    • $19.5M unreimbursed and uncompensated care
    • $26.8M net income
    See finances
  • Ownership and leadership

    Owned by CGH Medical Center

    • Local
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-3479824(multi-state) Cgh Medical Center56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1902854623 Cgh Medical Center1548540636 Cgh Medical Center1871533828 Cgh Medical Centerand 10 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

100 East Lefevre Road, Sterling, IL 61081

(815) 625-0400

Get directions

Frequently asked questions

About Cgh Medical Center's rates and hospital price transparency.

How much does an MRI cost at Cgh Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Cgh Medical Center range from $399 to $4,633 across 4 insurers. Cigna's rate is $1,111. The median at nearby comparable hospitals is $2,612. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Cgh Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Cgh Medical Center range from $370 to $6,871 across 4 insurers. Aetna's rate is $375. The median at nearby comparable hospitals is $3,323. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Cgh Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Cgh Medical Center range from $6,946 to $18,806 across 4 insurers. Aetna's rate is $6,946. The median at nearby comparable hospitals is $2,544. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Cgh Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Cgh Medical Center range from $7,109 to $7,109 across 1 insurers. Cigna's rate is $7,109. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Cgh Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Cgh Medical Center range from $157 to $552 across 4 insurers. Cigna's rate is $552. The median at nearby comparable hospitals is $262. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Cgh Medical Center's CMS star rating?

Cgh Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Cgh Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Cgh Medical Center for fiscal year 2027.

Does Medicare penalize Cgh Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Cgh Medical Center's base inpatient payments by an estimated 1.11% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Cgh Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (139 discharges), heart failure and shock with mcc (75 discharges), septicemia or severe sepsis without mv >96 hours without mcc (54 discharges).

What is Cgh Medical Center's case mix index?

Cgh Medical Center's Medicare case mix index is 1.56 for fiscal year 2027, higher than 35% 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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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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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.

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
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