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Short Term Acute Care HospitalProprietary

Elmhurst Memorial Hospital

Edward Elmhurst Healthcare · Elmhurst, IL

155 East Brush Hill Road, Elmhurst, IL 60126(331) 221-0130

3 of 5

CMS star rating

258

Beds

21,293

Inpatient discharges a year

$594.3M

Net patient revenue a year

35

In-network payers

About this hospital

Elmhurst Memorial Hospital is a 258-bed proprietary hospital in Elmhurst, IL, affiliated with Edward Elmhurst Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 503 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
CCN
140200
NPI
1548306343
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
2006

Prices for common services

The 24 services Elmhurst Memorial 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.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$20,369 - $25,460

from 4 insurers · median $23,062

Aetna$25,460
Insurer A*$20,369
Insurer B*$22,809
Insurer C*$23,315
Medicare $10,815Nearby hospitals $20,11415% above nearby hospitals

334 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,832 - $9,321

from 4 insurers · median $7,772

UnitedHealthcare$7,920
Insurer A*$5,832
Insurer B*$7,625
Insurer C*$9,321

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 obstetrics / child birth services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$37,150 - $52,110

from 3 insurers · median $43,237

Aetna$52,110
Insurer A*$37,150
Insurer B*$43,237
Medicare $22,012Nearby hospitals $39,14410% above nearby hospitals

73 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$9,933 - $11,338

from 4 insurers · median $11,111

UnitedHealthcare$11,038
Insurer A*$9,933
Insurer B*$11,185
Insurer C*$11,338

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 obstetrics / child birth services to CMS

How the insurers pay at Elmhurst Memorial 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*23
198%
163
Insurer B*24
169%
142
Insurer C*24
168%
105
Insurer D*21
121%
96

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 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 Elmhurst Memorial 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

    • 166 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.31%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 37 services, including trauma care
    • 1,143 affiliated clinicians
    See doctors and services
  • Finances

    $594.3M net patient revenue

    • Operating margin on patient care 15.7%
    • $14.8M unreimbursed and uncompensated care
    • $173.6M net income
    See finances
  • Ownership and leadership

    Owned by Edward-elmhurst Healthcare

    • Private (for profit)
    • Kimberley Darey, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Elmhurst Memorial 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
36-2167784Elmhurst Memorial Hospital65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 60 more1548306343 Elmhurst Memorial Hospital1396430922 Elmhurst Memorial Hospital1699811422 Elmhurst Memorial Hospitaland 10 more
36-4037473Elmhurst Memorial Healthcare18Aetna, Cigna, Allied Benefit Systems, Aspirus Health Plan, Banner Health and 13 more1457493454 Elmhurst Memorial Healthcare1497076392 Elmhurst Memorial Healthcare1760692362 Elmhurst Memorial Healthcareand 7 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

155 East Brush Hill Road, Elmhurst, IL 60126

(331) 221-0130

Get directions

Frequently asked questions

About Elmhurst Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Elmhurst Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Elmhurst Memorial Hospital range from $183 to $6,527 across 4 insurers. UnitedHealthcare's rate is $183. The median at nearby comparable hospitals is $1,302. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Elmhurst Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Elmhurst Memorial Hospital range from $179 to $3,399 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $3,399. 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 Elmhurst Memorial Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Elmhurst Memorial Hospital range from $1,772 to $6,746 across 4 insurers. Cigna's rate is $6,746. The median at nearby comparable hospitals is $2,346. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Elmhurst Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Elmhurst Memorial Hospital range from $5,832 to $9,321 across 4 insurers. UnitedHealthcare's rate is $7,920. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Elmhurst Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Elmhurst Memorial Hospital range from $75 to $1,406 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $1,406. The median at nearby comparable hospitals is $300. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Elmhurst Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Elmhurst Memorial Hospital range from $20,369 to $25,460 across 4 insurers. Aetna's rate is $25,460. The median at nearby comparable hospitals is $20,114. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Elmhurst Memorial Hospital's CMS star rating?

Elmhurst Memorial 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 Elmhurst Memorial Hospital a teaching hospital?

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

Does Medicare penalize Elmhurst Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Elmhurst Memorial Hospital's base inpatient payments by an estimated 1.31% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Elmhurst Memorial Hospital?

In 2024, the most common were heart failure and shock with mcc (352 discharges), septicemia or severe sepsis without mv >96 hours with mcc (324 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (165 discharges).

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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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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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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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