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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Edward Hospital

Edward Elmhurst Healthcare · Naperville, IL

801 South Washington Street, Naperville, IL 60540(630) 527-3000

3 of 5

CMS star rating

358

Beds

24,945

Inpatient discharges a year

$806.5M

Net patient revenue a year

30

In-network payers

Photo 1: Lectrician1, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Edward Hospital is a 358-bed voluntary non-profit - private hospital in Naperville, IL, affiliated with Edward Elmhurst Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 479 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Helipad
CCN
140231
NPI
1427069632
Health system
Edward Elmhurst Healthcare
Teaching
No Medicare-funded residents
County
DuPage County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
1999

Prices for common services

The 24 services Edward 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

$5,928 - $7,861

from 4 insurers · median $7,363

UnitedHealthcare$7,581
Insurer A*$5,928
Insurer B*$7,145
Insurer C*$7,861

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

$9,933 - $14,382

from 4 insurers · median $10,815

UnitedHealthcare$10,446
Insurer A*$9,933
Insurer B*$11,185
Insurer C*$14,382

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

$21,148 - $28,934

from 4 insurers · median $22,399

Aetna$21,501
Insurer A*$21,148
Insurer B*$23,298
Insurer C*$28,934
Medicare $10,864Nearby hospitals $19,43515% above nearby hospitals

113 Medicare discharges for this DRG in CMS hospital data

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,395 - $5,134

from 4 insurers · median $4,061

Aetna$2,395
Insurer A*$3,747
Insurer B*$4,375
Insurer C*$5,134
Medicare $3,256Nearby hospitals $3,62112% above nearby hospitals

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

How the insurers pay at Edward 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*24
188%
164
Insurer B*24
169%
134
Insurer C*24
90%
218
Insurer D*21
82%
98

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 Edward 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 163 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.78%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 24 services
    • 1,257 affiliated clinicians
    See doctors and services
  • Finances

    $806.5M net patient revenue

    • Operating margin on patient care 16.7%
    • $35M unreimbursed and uncompensated care
    • $196.9M net income
    See finances
  • Ownership and leadership

    Owned by Endeavor Health

    • Private (not for profit)
    • Gerald P Gallagher, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Edward 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
36-3297173Edward Hospital58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1427069632 Edward Hospital1013969013 Edward Hospital1396941647 Edward Hospitaland 14 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

801 South Washington Street, Naperville, IL 60540

(630) 527-3000

Get directions

Frequently asked questions

About Edward Hospital's rates and hospital price transparency.

How much does an MRI cost at Edward Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Edward Hospital range from $183 to $5,029 across 4 insurers. UnitedHealthcare's rate is $183. The median at nearby comparable hospitals is $1,019. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Edward Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Edward Hospital range from $179 to $855 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $602. The median at nearby comparable hospitals is $719. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Edward Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Edward Hospital range from $909 to $4,084 across 4 insurers. Cigna's rate is $4,084. The median at nearby comparable hospitals is $1,898. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Edward Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Edward Hospital range from $5,928 to $7,861 across 4 insurers. UnitedHealthcare's rate is $7,581. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Edward Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Edward Hospital range from $75 to $1,406 across 4 insurers. Cigna's rate is $358. The median at nearby comparable hospitals is $349. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Edward Hospital range from $21,148 to $28,934 across 4 insurers. Aetna's rate is $21,501. The median at nearby comparable hospitals is $19,435. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Edward Hospital's CMS star rating?

Edward 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 Edward Hospital a teaching hospital?

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

Does Medicare penalize Edward Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Edward Hospital's base inpatient payments by an estimated 0.78% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (374 discharges), heart failure and shock with mcc (352 discharges), respiratory infections and inflammations with mcc (155 discharges).

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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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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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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