NorthShore University Health System · Evanston, IL
5 of 5
CMS star rating
732
Beds
37,281
Inpatient discharges a year
$1.7B
Net patient revenue a year
40
In-network payers
Evanston Hospital is a 732-bed voluntary non-profit - other hospital in Evanston, IL, affiliated with NorthShore University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 507 disclosed rate categories.
The 24 services Evanston 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.
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Gynecology
CPT 58558
$3,628 - $7,936
from 4 insurers · median $4,494
177 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$298 - $2,154
from 4 insurers · median $1,040
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$20,240 - $24,711
from 4 insurers · median $23,573
309 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery · Inpatient
MS-DRG 460
$39,991 - $75,320
from 4 insurers · median $48,147
128 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$6,476 - $8,707
from 4 insurers · median $7,909
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
MS-DRG 788
$10,211 - $14,382
from 4 insurers · median $11,681
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
CPT 47562
$7,621 - $11,069
from 4 insurers · median $9,121
493 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$823 - $1,223
from 4 insurers · median $1,209
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$9,599 - $15,036
from 4 insurers · median $12,018
241 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$3,265 - $9,691
from 4 insurers · median $4,618
2412 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
MRI imaging
CPT 70553
$298 - $4,172
from 4 insurers · median $1,765
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$92 - $760
from 4 insurers · median $243
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,283 - $6,865
from 4 insurers · median $2,048
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$89 - $1,845
from 4 insurers · median $339
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$204 - $2,154
from 4 insurers · median $745
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$150 - $1,845
from 4 insurers · median $973
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,621 - $11,069
from 4 insurers · median $8,341
493 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$1,712 - $6,865
from 4 insurers · median $2,138
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,400 - $6,865
from 4 insurers · median $2,138
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$797 - $3,024
from 4 insurers · median $1,638
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$298 - $2,921
from 4 insurers · median $1,723
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$101,014 - $119,825
from 4 insurers · median $110,667
11 Medicare discharges for this DRG in CMS hospital data
MRI imaging
CPT 70551
$204 - $2,479
from 4 insurers · median $1,248
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$74 - $143
from 4 insurers · median $112
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 562% | 17 | 3 |
| Insurer B* | 24 | 218% | 15 | 5 |
| Insurer C* | 24 | 208% | 14 | 5 |
| Insurer D* | 24 | 88% | 2 | 5 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 2 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 Evanston Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$1.7B net patient revenue
Ownership and leadership
Owned by Endeavor Health
The employer identification numbers (EINs) health plans and networks list for Evanston Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 36-2167060Northshore University Healthsystem | 74Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 69 more | 1184670549 Endeavor Health Clinical Operations1609817220 Endeavor Health Clinical Operations1093755340 Endeavor Health Clinical Operationsand 15 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.
2650 Ridge Avenue, Evanston, IL 60201
(847) 432-8000
How Evanston Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Better on 7 of 8 measures
7 better, 1 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 5 of 8 measures
5 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 4 of 11 measures
1 better, 6 no different, 4 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
70%
Lower than 53% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.58
Lower than 99% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
273 min
Higher than 98% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
63%
Lower than 55% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 5 of 5 | |
| Death rates | Better on 7 of 8 measures | |
| Safety | Better on 5 of 8 measures | |
| Readmissions | Worse on 4 of 11 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 70% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.58 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 273 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 63% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Evanston Hospital's inpatient payments for its readmissions, quality and cost results.
-0.49% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.96% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Evanston Hospital, beside the US median and the average of IL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 850 cases | 3.3 | 4.1 | 4.202 | Better than 85% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 10,221 cases | 3.1 | 3.9 | 4.052 | Better than 90% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 543 cases | 10.6 | 11.8 | 11.78 | Better than 86% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 73 cases | 1.8 | 2.3 | 2.39 | Better than 82% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 379 cases | 6.9 | 8.5 | 8.223 | Better than 89% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 1,690 cases | 8.1 | 11 | 10.49 | Better than 94% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 2,359 cases | 11 | 15.2 | 15.41 | Better than 96% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 649 cases | 9.5 | 11.6 | 11.77 | Better than 87% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 22,733 cases | 0.1 | 0.51 | 0.5668 | Better Than the National Rate | Better than 99% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 238 cases | 128 | 173 | 173 | Better Than the National Rate | Better than 98% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 26,217 cases | 0.14 | 0.2 | 0.2122 | No Different Than the National Rate | Better than 96% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 26,397 cases | 0.33 | 0.27 | 0.2728 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 6,622 cases | 1.9 | 2.29 | 2.301 | No Different Than the National Rate | Better than 91% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 2,420 cases | 1.37 | 1.63 | 1.67 | No Different Than the National Rate | Better than 90% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 2,433 cases | 4.26 | 8.88 | 9.531 | Better Than the National Rate | Better than 99% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 6,980 cases | 3.46 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 2,425 cases | 2.45 | 5.105 | 5.152 | Better Than the National Rate | Better than 99% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 1,393 cases | 2.22 | 1.72 | 1.741 | No Different Than the National Rate | Worse than 95% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 4,624 cases | 0.73 | 1.02 | 1.045 | No Different Than the National Rate | Better than 97% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 573 cases | 7 | 4.2 | 11.54 | Worse than 54% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 1,906 cases | 5.3 | 1.25 | 8.216 | Worse than 55% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 2,497 cases | 7.4 | 3.85 | 13.94 | Worse than 55% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 9,680 cases | 10.2 | 12.9 | 12.97 | Better Than the National Rate | Better than 99% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 751 cases | 6.9 | 10.7 | 11.17 | Better Than the National Rate | Better than 99% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 751 cases | 3.3 | 5.3 | 5.176 | Better Than the National Rate | Better than 99% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 4,358 cases | 0.8 | 1 | 1.016 | Better than expected | Better than 92% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 575 cases | 14.6 | 14.4 | 14.43 | Worse than 60% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 83 cases | 10.8 | 10.9 | 11.3 | Better than 52% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 464 cases | 19.6 | 19.8 | 20.07 | Better than 58% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,729 cases | 20.5 | 21.3 | 21.51 | Better than 75% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 828 cases | 5.2 | 5.8 | 5.976 | Better than 82% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 2,420 cases | 17.6 | 17.2 | 17.5 | Worse than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.028 | 0.172 | 0.315 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.295 | 1.504 | 2.097 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 28,200 | 1,370 | 4,356 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 27.64 | 0.9835 | 4.318 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.961 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.109 | 0.484 | 0.7494 | Better than the National Benchmark | Better than 78% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.318 | 0.138 | 0.2157 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.915 | 1.392 | 1.915 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 22,518 | 1,799 | 3,807 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 25.05 | 1.377 | 4.51 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 14 | 0 | 2.56 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.559 | 0.399 | 0.5759 | Better than the National Benchmark | Worse than 65% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.433 | 0.2345 | 0.3411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.631 | 2.135 | 2.549 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 428 | 61 | 96.21 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 10.13 | 1.591 | 2.6 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 9 | 1 | 2.339 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.889 | 0.7155 | 0.9044 | No Different than National Benchmark | Worse than 62% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.548 | 0.211 | 0.3129 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.313 | 3.068 | 3.282 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 415 | 38 | 84.23 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 3.345 | 0.328 | 0.7325 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 0.72 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 1.495 | 0.812 | 0.899 | No Different than National Benchmark | Worse than 73% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.063 | 0.193 | 0.1945 | Better than the National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.677 | 1.855 | 2.01 | Better than the National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 201,305 | 14,451 | 38,381 | Better than the National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 12.06 | 0.567 | 2.311 | Better than the National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 1.305 | Better than the National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.249 | 0.597 | 0.5504 | Better than the National Benchmark | Better than 77% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.145 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.368 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 185,466 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 75.75 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 18 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.238 | 0.279 | 0.4067 | Better than the National Benchmark | Better than 57% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 3,985 cases | 70 | 73 | 72.75 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 3,985 cases | 10 | 8 | 9.158 | Worse than 62% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 3,985 cases | 20 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 3,985 cases | 86 | 87 | 85.64 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 3,985 cases | 3 | 4 | 3.195 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 3,985 cases | 76 | 80 | 79.29 | Worse than 72% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 3,985 cases | 90 | 91 | 90.92 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 3,985 cases | 6 | 4 | 4.576 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 3,985 cases | 3 | 3 | 3.305 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 3,985 cases | 18 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 3,985 cases | 77 | 79 | 78.82 | Worse than 63% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 3,985 cases | 90 | 91 | 90.1 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 3,985 cases | 6 | 5 | 5.823 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 3,985 cases | 3 | 3 | 2.89 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 3,985 cases | 17 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 3,985 cases | 57 | 61 | 61.18 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 3,985 cases | 74 | 77 | 76.11 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 3,985 cases | 24 | 19 | 19.8 | Worse than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 3,985 cases | 2 | 3 | 2.559 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 3,985 cases | 19 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 3,985 cases | 87 | 86 | 85.26 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 3,985 cases | 13 | 13 | 13.92 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 3,985 cases | 4 | 3 | 3.237 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 3,985 cases | 87 | 87 | 86.08 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 3,985 cases | 14 | 14 | 14.8 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 3,985 cases | 86 | 86 | 85.2 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 3,985 cases | 72 | 74 | 73.24 | Worse than 60% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 3,985 cases | 8 | 7 | 7.369 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 3,985 cases | 20 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 3,985 cases | 76 | 77 | 76.95 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 3,985 cases | 6 | 6 | 6.199 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 3,985 cases | 18 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,985 cases | 83 | 85 | 84.2 | Worse than 66% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,985 cases | 5 | 3 | 3.979 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,985 cases | 12 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 3,985 cases | 10 | 8 | 8.937 | Worse than 67% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 3,985 cases | 22 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 3,985 cases | 68 | 72 | 70.19 | Worse than 64% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 3,985 cases | 87 | 88 | 87.19 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 3,985 cases | 3 | 3 | 3.136 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 3,985 cases | 72 | 74 | 73.94 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 3,985 cases | 11 | 9 | 9.858 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 3,985 cases | 17 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 3,985 cases | 72 | 75 | 74.61 | Worse than 67% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 3,985 cases | 7 | 5 | 5.915 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 3,985 cases | 21 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 3,985 cases | 73 | 77 | 76.32 | Worse than 70% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 3,985 cases | 5 | 4 | 4.894 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 3,985 cases | 22 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,985 cases | 83 | 86 | 84.9 | Worse than 72% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,985 cases | 4 | 3 | 3.085 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,985 cases | 13 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 3,985 cases | 59 | 59 | 59.03 | Worse than 49% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 3,985 cases | 10 | 9 | 10.03 | Worse than 54% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 3,985 cases | 31 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 3,985 cases | 82 | 82 | 81.16 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 3,985 cases | 3 | 3 | 3.237 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 3,985 cases | 6 | 5 | 6.753 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 3,985 cases | 70 | 71 | 68.65 | Worse than 53% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 3,985 cases | 87 | 87 | 85.89 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 3,985 cases | 24 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 3,985 cases | 4 | 4 | 3.458 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 3,985 cases | 41 | 47 | 46.95 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 3,985 cases | 37 | 30 | 30.69 | Worse than 83% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 3,985 cases | 22 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 3,985 cases | 3 | 3 | 3.119 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 3,985 cases | 12 | 12 | 13.09 | Better than 48% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 3,985 cases | 88 | 88 | 86.91 | Better than 48% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 49,853 cases | 7 | 8 | 8.656 | Better than 57% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 9,285 cases | 1 | 1 | 1.114 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2258 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 12,726 cases | 87 | 79 | 83.65 | Better than 64% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 397 cases | 278 | 154 | 183 | Worse than 97% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 372 cases | 273 | 148 | 175 | Worse than 98% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 25 cases | 371 | 247 | 304 | Worse than 83% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 315 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 120,626 cases | 10 | 1 | 2.469 | Worse than 99% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 38 cases | 47 | 74 | 78.84 | Worse than 88% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 119 cases | 98 | 97 | 94.09 | Better than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 90 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 26 cases | 69 | 53 | 40.38 | Better than 81% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 8,340 cases | 17 | 15 | 15.81 | Worse than 66% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 297 cases | 63 | 65 | 62.57 | Worse than 55% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 133 cases | 75 | 73 | 71.03 | Better than 53% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 88 cases | 89 | 88 | 85.26 | Better than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 298 cases | 81 | 82 | 79.02 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 164 cases | 96 | 94 | 92.05 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 457 cases | 98 | 98 | 97 | Better than 49% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 75.87 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 429 cases | 93 | 94 | 94.02 | Worse than 54% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 81.77 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.61 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.5 | 5 | 6.493 | Worse than 74% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 19 | 6.6 | 7.806 | Worse than 95% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.97 | 0.99 | 0.9996 | Better than 58% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 73 cases | 82.2 | 60.8 | 61.49 | Better than 96% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 73 cases | 57.5 | 35.5 | 35.96 | Better than 94% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 9,733 cases | 1.27 | 0.05 | 0.399 | Better than 95% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 9,733 cases | 0 | 0.03 | 0.09122 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 317 cases | 92 | 87 | 78.18 | Better than 63% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 107 cases | 82.2 | 78.1 | 76.67 | Better than 69% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 160 cases | 18.7 | 19.1 | 20.08 | No Different Than the National Rate | Better than 55% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 345 cases | 88 | 92 | 82.91 | Worse than 60% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 80 cases | 29 | 74 | 63.93 | Worse than 81% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 63 cases | 25 | 81 | 72.61 | Worse than 90% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 90 cases | 67 | 77 | 69.11 | Worse than 60% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 90 cases | 58 | 56 | 55.13 | Better than 51% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 97 cases | 26 | 64 | 55.46 | Worse than 75% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 97 cases | 19 | 4 | 24.33 | Better than 68% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 636 cases | 30 | 77 | 54.33 | Worse than 76% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 93.33 | 20 | 28.09 | Better than 99% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 23.33 | 5 | 7.071 | Better than 99% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 20 | 10 | 13.71 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 3.521 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 32 | 34 | 34.29 | Worse than 54% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8 | 8.75 | 8.88 | Worse than 54% of US hospitals | |
| VBP safety domain scoreFY 2026 | 26.67 | 40 | 36.66 | Worse than 75% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 6.667 | 10 | 9.377 | Worse than 75% of US hospitals | |
| VBP total performance scoreFY 2026 | 43 | 29.5 | 28.2 | Better than 86% of US hospitals |
| By fiscal year | FY 2021 | FY 2025 | FY 2026 |
|---|---|---|---|
| VBP clinical outcomes domain score | 92 | 80 | 93.33 |
| VBP clinical outcomes weighted domain score | 23 | 20 | 23.33 |
| VBP efficiency and cost reduction domain score | 20 | 20 | 20 |
| VBP efficiency and cost reduction weighted domain score | 5 | 5 | 5 |
| VBP person and community engagement domain score | 27 | 19 | 32 |
| VBP person and community engagement weighted domain score | 6.75 | 4.75 | 8 |
| VBP safety domain score | 44 | 54 | 26.67 |
| VBP safety weighted domain score | 11 | 13.5 | 6.667 |
| VBP total performance score | 45.75 | 43.25 | 43 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 593 cases | 0.9947 | 0.9995 | 1.015 | Better than 54% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 0.9868 | 1 | 1.026 | Better than 56% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 378 cases | 0.9381 | 0.9969 | 1.009 | Better than 94% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 2,138 cases | 1.057 | 0.9983 | 1.013 | Worse than 82% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 1,072 cases | 0.8951 | 0.9916 | 1.055 | Better than 76% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 2,245 cases | 1.043 | 0.9955 | 1.018 | Worse than 77% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9887 | 0.9787 | 0.9874 | 1.053 | 1.034 | 0.9947 |
| READM-30-CABG-HRRP | 0.9667 | 0.949 | 0.8952 | 1.047 | 0.9501 | 0.9868 |
| READM-30-COPD-HRRP | 0.9624 | 0.983 | 0.9563 | 1.025 | 0.9839 | 0.9381 |
| READM-30-HF-HRRP | 1.041 | 1.006 | 1.002 | 1.029 | 1.081 | 1.057 |
| READM-30-HIP-KNEE-HRRP | 0.9272 | 0.9655 | 0.9376 | 0.9508 | 0.8951 | 0.8951 |
| READM-30-PN-HRRP | 1.075 | 1.069 | 1.046 | 1.078 | 1.026 | 1.043 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Evanston Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.364 | 0.489 | 0.5958 | Better than 64% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.19 | 0.346 | 0.436 | Better than 74% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.286 | 0.559 | 0.7638 | Better than 76% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.758 | 0.6405 | 0.6364 | Worse than 61% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.579 | 0.9628 | 0.9883 | Better than 99% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.725 | 0.7945 | 0.9041 | Better than 55% of US hospitals | |
| Total HAC scoreFY 2026 | -0.5803 | -0.0453 | 0.07842 | Better than 84% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.1162 | 0.1652 | 0 | -0.9586 | -0.9442 | -0.5803 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2025)
Accreditation
Major
Medical school affiliation
Other
Ownership type
466
Medicare-certified beds
986
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Evanston Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
37,281
Inpatient discharges
Medicare 39%, Medicaid 5%
178,972
Inpatient days
71% of available bed days used
6,277
Employees (full-time equivalent)
221
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838662). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Evanston Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 68,949 | 9,240 | 100,783 | 178,972 |
| Discharges | 14,649 | 1,892 | 20,740 | 37,281 |
| Average length of stay | 4.7 days | 4.9 days | 4.9 days | 4.8 days |
| Average daily census | 188.9 | 25.3 | 276.1 | 490.3 |
31,748
Medicare Advantage days
6,144 discharges
17,748
Medicaid managed care days
4,116 discharges
20,072
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 577 | 143,422 | 62,689 | 68% |
| Intensive care unit | 70 | 16,477 | 6,260 | 64% |
| Nursery | 9,308 | |||
| Subprovider - ipf | 41 | 11,470 | 1,335 | 77% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838662, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Evanston Hospital treats Medicare patients for most often, in 2024. 12,535 Medicare discharges in 231 published DRGs; 27% surgical; 67% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 950 | $64,673 | $14,704 | $19,272 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 428 | $39,208 | $9,711 | $11,684 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 419 | $45,833 | $12,177 | $13,658 | 1.70 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 366 | $67,089 | $14,088 | $19,993 | 1.88 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 231 | $26,023 | $5,485 | $7,755 | 0.79 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 224 | $66,274 | $15,267 | $19,750 | 2.07 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 220 | $26,520 | $5,623 | $7,903 | 0.81 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 192 | $57,696 | $12,227 | $17,193 | 1.59 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 190 | $28,323 | $5,656 | $8,440 | 0.78 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 184 | $32,757 | $7,274 | $9,762 | 0.98 |
| Cellulitis without MCCMS-DRG 603, medical | 178 | $25,162 | $6,135 | $7,498 | 0.88 |
| Renal failure with CCMS-DRG 683, medical | 177 | $28,553 | $6,151 | $8,509 | 0.90 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 177 | $35,842 | $7,397 | $10,681 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 176 | $43,491 | $9,830 | $12,960 | 1.33 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 173 | $229,879 | $38,365 | $68,504 | 4.88 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 173 | $30,951 | $8,608 | $9,223 | 1.17 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 169 | $27,865 | $6,998 | $8,304 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 166 | $45,974 | $9,460 | $13,700 | 1.23 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 155 | $36,431 | $9,893 | $10,856 | 1.32 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 149 | $28,151 | $5,664 | $8,389 | 0.82 |
See all 231 Medicare inpatient DRGs at Evanston Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Evanston Hospital billed Medicare for most in 2024: 17,502 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 2,412 | 1,573 | $16,316 | $1,722 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 1,908 | 1,265 | $1,420 | $501 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 1,713 | 1,605 | $18,551 | $2,011 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 1,343 | 1,287 | $57,916 | $10,486 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 946 | 861 | $8,116 | $1,193 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 926 | 693 | $6,325 | $1,509 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 493 | 487 | $32,578 | $4,241 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 482 | 448 | $14,841 | $2,348 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 477 | 470 | $33,367 | $5,250 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 466 | 374 | $18,754 | $2,583 | $2,629 |
See all 57 Medicare outpatient services at Evanston Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Evanston Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 17,398 in 2020 to 20,063 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 60062 | 2,087 | 10% | 9,458 | $128M | 79% | 84% |
| 60201 | 1,463 | 7% | 6,750 | $92.5M | 83% | 85% |
| 60035 | 1,243 | 6% | 5,740 | $77.7M | 79% | 80% |
| 60025 | 1,135 | 6% | 5,093 | $70.7M | 63% | 70% |
| 60076 | 1,042 | 5% | 4,967 | $68.3M | 73% | 75% |
| 60091 | 922 | 5% | 4,087 | $59.2M | 85% | 88% |
| 60077 | 918 | 5% | 4,660 | $62M | 73% | 76% |
| 60015 | 872 | 4% | 3,939 | $54.5M | 73% | 74% |
| 60202 | 734 | 4% | 3,456 | $47.7M | 61% | 56% |
| 60090 | 717 | 4% | 3,750 | $46.6M | 49% | 45% |
| 60026 | 656 | 3% | 2,941 | $37.3M | 80% | 83% |
| 60093 | 505 | 3% | 2,328 | $32.4M | 80% | 87% |
| 60712 | 459 | 2% | 2,134 | $27.6M | 52% | 59% |
| 60645 | 408 | 2% | 1,986 | $28.5M | 28% | 24% |
| 60053 | 406 | 2% | 1,939 | $26.3M | 32% | 36% |
| 60089 | 362 | 2% | 1,774 | $24.3M | 21% | 24% |
| 60056 | 281 | 1% | 1,368 | $19.3M | 11% | 10% |
| 60069 | 270 | 1% | 1,114 | $15.3M | 43% | 54% |
| 60016 | 249 | 1% | 1,315 | $20.6M | 8% | 8% |
| 60070 | 240 | 1% | 1,094 | $16.1M | 35% | 36% |
| 60714 | 229 | 1% | 1,004 | $15.7M | 12% | 13% |
| 60085 | 219 | 1% | 1,246 | $15.2M | 12% | 10% |
| 60626 | 217 | 1% | 1,122 | $15.8M | 11% | 8% |
| 60659 | 208 | 1% | 1,087 | $18.2M | 19% | 15% |
| 60022 | 207 | 1% | 916 | $13.2M | 83% | 85% |
Source: CMS Hospital Service Area file. Shares are of the 20,063 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Evanston Hospital reported at its latest Medicare certification survey (2005). Counts are people, not full-time equivalents.
41
Psychiatric unit beds
22
Rehabilitation unit beds
986
Registered nurses
450
Physicians
34
Physician assistants
25
Nurse anesthetists (CRNAs)
40
Pharmacists
83
Physical therapists
33
Occupational therapists
14
Speech pathologists and audiologists
3
Dietitians
57
Social workers
3,459
Other personnel
Source: CMS Provider of Services file.
2,806 clinicians who bill Medicare list Evanston Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Erin Arnold, MD
Rheumatology Physician
NPI 1093767733
See commercial rates for Erin Arnold, MDSergey Furmanov, MD
Rheumatology Physician
NPI 1669586079
See commercial rates for Sergey Furmanov, MDAmi Kothari, M.D.
Rheumatology Physician
NPI 1194981100
See commercial rates for Ami Kothari, M.D.Lori Siegel, MD
Rheumatology Physician
NPI 1730144882
See commercial rates for Lori Siegel, MDAlejandra Rodriguez-Paez, M.D.
Rheumatology Physician
NPI 1356556013
See commercial rates for Alejandra Rodriguez-Paez, M.D.Chinyoung Park, MD
Rheumatology Physician
NPI 1013903491
See commercial rates for Chinyoung Park, MDAlfonso Bello, MD
Rheumatology Physician
NPI 1942252697
See commercial rates for Alfonso Bello, MDDavid Sager, M.D.
Specialist
NPI 1295850766
See commercial rates for David Sager, M.D.Teresa Sosenko
Rheumatology Physician
NPI 1326400169
See commercial rates for Teresa SosenkoMichael Mcguire, MD
Urology Physician
NPI 1821018185
See commercial rates for Michael Mcguire, MDRandy Rich, MD
Hematology & Oncology Physician
NPI 1609863281
See commercial rates for Randy Rich, MDJohn Berry, D.O.
Rheumatology Physician
NPI 1417319690
See commercial rates for John Berry, D.O.Patrick Onkka, M.D.
Rheumatology Physician
NPI 1407235518
See commercial rates for Patrick Onkka, M.D.Andrew Engel, MD
Pain Medicine (Anesthesiology) Physician
NPI 1083776223
See commercial rates for Andrew Engel, MDEdward Kaplan, M.D.
Hematology & Oncology Physician
NPI 1639181084
See commercial rates for Edward Kaplan, M.D.Leonardo Vargas, M.D.
Internal Medicine Physician
NPI 1245385699
See commercial rates for Leonardo Vargas, M.D.Yuriy Bukhalo, MD
Pain Medicine (Anesthesiology) Physician
NPI 1598719213
See commercial rates for Yuriy Bukhalo, MDManish Jain, M.D.
Rheumatology Physician
NPI 1417075581
See commercial rates for Manish Jain, M.D.Marlon Kleinman, M.D.
Hematology & Oncology Physician
NPI 1255343521
See commercial rates for Marlon Kleinman, M.D.Denise Verges, MD
Rheumatology Physician
NPI 1053376681
See commercial rates for Denise Verges, MDSteven Mutchnik, M.D.
Urology Physician
NPI 1427019611
See commercial rates for Steven Mutchnik, M.D.Eric Chuang, M.D.
Internal Medicine Physician
NPI 1124140207
See commercial rates for Eric Chuang, M.D.Brooke Vanderby, MD
Anesthesiology Physician
NPI 1164654810
See commercial rates for Brooke Vanderby, MDDestry Elms, M.D.
Hematology & Oncology Physician
NPI 1992236996
See commercial rates for Destry Elms, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Evanston Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $6.8B | 393.7% |
| Inpatient | $2.4B | 141.9% |
| Outpatient | $4.3B | 251.8% |
| Contractual allowances and discounts | -$5.1B | -293.7% |
| Net patient revenue | $1.7B | 100.0% |
| Operating expenses | -$2B | -118.6% |
| Operating income from patient care | -$320.8M | -18.6% |
| Other income | $813.7M | 47.2% |
| Contributions and donations | $12.2M | 0.7% |
| Investment income | $14.9M | 0.9% |
| Other | $786.6M | 45.7% |
| Other expenses | -$45.8M | -2.7% |
| Net income | $447.1M | 25.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $1.9B | 29.9% |
| Medicaid (including managed care) | $599.4M | 9.4% |
| Other payers and self-pay | $3.9B | 60.7% |
| Total charges | $6.4B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838662, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Evanston Hospital's latest cost report.
-18.6%
Operating margin
Operating income from patient care / net patient revenue
17.6%
Total margin
Net income / net patient revenue plus other income
23.8%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
42% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$53.52
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
2.4%
Return on assets
Net income for a year / total assets
11.2%
Return on equity
Net income for a year / fund balance
1.92
Current ratio
Current assets / current liabilities
1.55
Quick ratio
Cash, temporary investments and net receivables / current liabilities
70 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
46 days
Days in patient receivables
Net patient receivables / daily net patient revenue
72 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.14
Asset turnover
Total revenue for a year / total assets
14.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838662, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Evanston Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $18.5B in total assets and a $4B fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $370.4M | 2.0% |
| Patient receivables, net | $217M | 1.2% |
| Inventory | $141.5M | 0.8% |
| Total current assets | $728.9M | 3.9% |
| Property and equipment, net of depreciation | $1.4B | 7.6% |
| Investments and other assets | $16.3B | 88.4% |
| Total assets | $18.5B | 100.0% |
| Current liabilities | $379.3M | 2.1% |
| Total liabilities | $14.5B | 78.4% |
| Fund balance (net assets) | $4B | 21.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838662, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Evanston Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$37M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$59.2M
Bad debt
Patient bills written off as uncollectible, at charges
$48.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$101.1M
Total unreimbursed and uncompensated care
4.9% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 838662, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Evanston Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $1.5B | $1.7B | $2.3B | $1.9B | $1.8B | $1.7B |
| Operating expenses | $1.7B | $1.7B | $2.2B | $1.9B | $1.9B | $2B |
| Operating margin | -7.4% | 1.6% | 1.1% | 1.4% | -5.0% | -18.6% |
| Net income | $273M | $1.3B | -$562.3M | $412.4M | -$210.9M | $447.1M |
| Total assets | $4.9B | $6.2B | $6.2B | $7.4B | $11.6B | $18.5B |
| Discharges | 35,579 | 35,146 | 42,737 | 35,857 | 36,288 | 37,281 |
| Inpatient days | 167,296 | 170,667 | 216,025 | 170,473 | 176,434 | 178,972 |
| Medicare Advantage days | 17,930 | 19,617 | 27,122 | 23,721 | 27,484 | 31,748 |
| Beds | 742 | 719 | 710 | 707 | 729 | 732 |
| Employees (FTE) | 6,156 | 6,344 | 6,475 | 6,542 | 6,364 | 6,277 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838662, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Evanston Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $52.7M | $193.4M | $736.9M | 0.26 | 151,072 |
| Drugs charged to patients | $155.5M | $355.8M | 0.44 | 26,861 | |
| Medical supplies charged to patient | $154.2M | $290M | 0.53 | 28,694 | |
| Clinic | $24.7M | $121.4M | $280.1M | 0.43 | 374,982 |
| Impl. dev. charged to patients | $115.4M | $439.2M | 0.26 | 43,461 | |
| Radiology-diagnostic | $34.4M | $89.7M | $425.7M | 0.21 | 122,426 |
| Emergency | $30.1M | $72.9M | $416M | 0.18 | 61,712 |
| Laboratory | $25.9M | $72.2M | $578.3M | 0.12 | 58,073 |
| Physical therapy | $24.8M | $54.9M | $136.2M | 0.40 | 76,329 |
| Electrocardiology | $11M | $50.3M | $465.1M | 0.11 | 21,832 |
| Observation beds (non-distinct part | $30.4M | $59.8M | 0.51 | ||
| Delivery room & labor room | $10.7M | $27.4M | $81.8M | 0.34 | 43,932 |
| Asc (non-distinct part) | $7.3M | $21.8M | $41.8M | 0.52 | 53,459 |
| Ct scan | $4.9M | $21.8M | $467.2M | 0.05 | 9,855 |
| Respiratory therapy | $9.5M | $21M | $77.8M | 0.27 | 4,398 |
| Recovery room | $7.8M | $20.4M | $183.4M | 0.11 | 18,425 |
| Mri | $5M | $16.2M | $251.5M | 0.06 | 24,637 |
| Radiology-therapeutic | $4.8M | $13M | $96M | 0.14 | 21,576 |
| Anesthesiology | $3.9M | $11.6M | $111.5M | 0.10 | 5,970 |
| Cardiac catheterization | $2.4M | $10.7M | $5.6M | 1.92 | 24,430 |
| Radioisotope | $3.1M | $9.7M | $135.2M | 0.07 | 20,272 |
| Occupational therapy | $2.9M | $5.6M | $16.9M | 0.33 | 3,372 |
| Intravenous therapy | $2.4M | $5.4M | $22M | 0.25 | 303 |
| Vascular lab | $2M | $5.2M | $43.3M | 0.12 | 5,670 |
| Renal dialysis | $5M | $8.1M | 0.62 | 3,029 | |
| Electroencephalography | $1.7M | $3.9M | $16.5M | 0.23 | 1,049 |
| Cardiac rehabilitation | $732,288 | $2M | $7.1M | 0.29 | 5,081 |
| Speech pathology | $911,550 | $1.9M | $6M | 0.32 | 2,168 |
| Blood storing processing & trans. | $1.2M | $1.5M | $13M | 0.12 | 3,056 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $115.9M | $247.3M | $420.4M | 0.59 | 292,176 |
| Intensive care unit | $24.1M | $51.4M | $94.5M | 0.54 | 34,837 |
| Infant special care unit (iscu) | $7.1M | $17.4M | $56.7M | 0.31 | 9,832 |
| Subprovider - ipf | $5.5M | $14.5M | $29.4M | 0.49 | 17,280 |
| Nursery | $4.2M | $13.5M | 0.31 | 2,114 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $158.9M | $387.5M | 2,472,260 | $59.48 | 1,204,066 |
| Cap rel costs-bldg & fixt | $107.5M | 4,183,635 | |||
| Operation of plant | $6.1M | $71.8M | 199,579 | $30.32 | 990,757 |
| Employee benefits department | $16.4M | $52.7M | 291,801 | $56.09 | 48,904 |
| Cap rel costs-mvble equip | $49.3M | ||||
| I&r services-other prgm costs apprv | $23.3M | $47M | 47,280 | ||
| Central services & supply | $18.9M | $30.1M | 600,846 | $31.51 | |
| Pharmacy | $20.1M | $27.6M | 369,193 | $54.40 | |
| Nursing administration | $17.7M | $22.5M | 537,186 | $32.94 | 11,534 |
| Housekeeping | $22M | 29,497 | |||
| Dietary | $875 | $13.6M | 17 | $51.47 | 37,451 |
| Cafeteria | $4.8M | 31,310 | |||
| Laundry & linen service | $4.6M | 6,577 | |||
| Social service | $3.3M | 64,571 | $39.64 | 5,730 | |
| Medical records & library | $1.4M | $2.3M | 49,882 | $28.93 | 6,980 |
| Paramed ed prgm- pharmacy | $1.1M | $1.3M | 1,125 | ||
| Paramed ed prgm-medical tech | $174,140 | $495,798 | 1,490 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838662, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Evanston Hospital for an inpatient stay.
1.87
Case mix index
Higher than 68% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.30 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
17.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
14,462
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.75 | 1.75 | 1.84 | 1.82 | 1.82 | 1.86 | 1.87 |
| Wage index | 1.035 | 1.033 | 1.038 | 1.021 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.71% | -0.63% | -0.44% | -0.05% | -0.66% | -0.61% | -0.49% |
| Value-based purchasing adjustment | +0.28% | +0.93% | +0.94% | 0.00% | 0.00% | +1.87% | +0.96% |
| Medicare inpatient stays | 17,533 | 17,533 | 13,974 | 13,906 | 14,208 | 13,968 | 14,462 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Evanston Hospital reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Endeavor Health
5% or greater direct ownership interest, 100%, since 2022
Sources: CMS Hospital All Owners.
The officers and board members on Evanston Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 9 of 13 are shown.
Endeavor Health Clinical Operations files the Form 990 for the tax ID insurers list for Evanston Hospital, so these people may lead the wider organization rather than Evanston Hospital alone.
| Name | Title |
|---|---|
| Gerald P Gallagher | President And Chief Executive Officer |
| Sean O'Grady | Director And President, Acute & Ambulatory Operations |
| Douglas D Welday | System Treasurer And CFO |
| Julian E Bailes | Clinical Chairman, Neurosurgery |
| Jason L Koh | Clinical Chairman, Orthopedics |
| Kristen Murtos | Chief Innovation And Transformation Officer |
| John Erwin III | Vice Chairman And Clinical Chairman, Medicine |
| Steven Smith | Chief Information Officer (until 1/3/24) |
| Robert R Edelman | Clinical Chairman, Radiology |
| Dianna Sparacino | Chief People Officer |
| Shivani Bautista | System Secretary/chief Legal Officer |
| Gabrielle Cummings | President, Evanston Hospital And Northshore Hospitals |
| Richard K Silver | Clinical Chairman, Obstetrics And Gynecology |
| Mohammed Minhaj | Clinical Chairman, Anesthesia |
| Deb Anderson | Chief Information Officer |
| William D Bloomer | Clinical Chairman, Radiation Medicine |
| Anne Martino | Chief Marketing Officer |
| Ramon Solhkhah | Clinical Chairman, Psychiatry |
| Scott Kenagy | Senior Vice President, Chief Investment Officer |
| Susan Rubin | Clinical Chairman, Neurology |
| Jeffery Biesczat | Senior Vice President, Financial Planning And Accounting |
| Brian Washa | Senior Vice President, Supply Chain Management |
| Nicole Fernandez | President, Highland Park Hospital And Northshore Chief Nursing Officer |
| Sarah Donlan | Chief Medical Officer, Northshore Hospitals |
| Wanda Cruz-Knight | Clinical Chairman, Family Medicine |
| Kevin Willer | Chairman |
| Scott C Schweighauser | Director And Assistant Secretary |
Board members: Mahalakshmi Halasyamani, Mark S Talamonti, Neil S Freedman, John Tressa, Michael S Caplan, Karen L Kaul, and 8 more on the return.
Source: IRS Form 990 Part VII filed by Endeavor Health Clinical Operations (EIN 36-2167060), via the IRS e-file data. A health system's return can cover several hospitals.
Psychiatry unit
CCN 14S010, certified 1983, Medicare prospective payment
Transitional care center
CCN 145855, certified 1995, Medicare prospective payment
Source: Worksheet S-2 Part I of Evanston Hospital's latest Medicare cost report (HCRIS).
About Evanston Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Evanston Hospital range from $298 to $4,172 across 4 insurers. UnitedHealthcare's rate is $298. The median at nearby comparable hospitals is $739. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Evanston Hospital range from $298 to $2,154 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $1,225. The median at nearby comparable hospitals is $1,014. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Evanston Hospital range from $1,712 to $6,865 across 4 insurers. Cigna's rate is $2,545. The median at nearby comparable hospitals is $2,093. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Evanston Hospital range from $6,476 to $8,707 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $8,707. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Evanston Hospital range from $92 to $760 across 4 insurers. UnitedHealthcare's rate is $92. The median at nearby comparable hospitals is $244. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Evanston Hospital range from $20,240 to $24,711 across 4 insurers. Aetna's rate is $23,516. The median at nearby comparable hospitals is $24,187. What a patient pays depends on their plan's deductible, coinsurance and network status.
Evanston Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
Yes. CMS counts 0.30 Medicare-funded residents per bed at Evanston Hospital for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Evanston Hospital's base inpatient payments by an estimated 0.49% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (950 discharges), heart failure and shock with mcc (428 discharges), respiratory infections and inflammations with mcc (419 discharges).
Evanston Hospital's Medicare case mix index is 1.87 for fiscal year 2027, higher than 68% of hospitals paid under the inpatient prospective payment system.
Evanston Hospital reported 37,281 inpatient discharges and 178,972 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Evanston Hospital reported 6,277 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Evanston Hospital reported $1.7B in net patient revenue on $6.8B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -18.6%, and net income of $447.1M.
Evanston Hospital reported $101.1M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $37M of charity care at cost.
Evanston Hospital's Medicare enrollment lists Gerald Gallagher as CEO since 2024.
Insurers' price transparency files list Evanston Hospital under employer identification number 36-2167060 (Northshore University Healthsystem). 74 health plans and networks list 36-2167060 for it.
2,806 clinicians who bill Medicare list Evanston Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (357), nurse practitioner (254), family medicine physician (201).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Evanston Hospital, effective 2025.
In its Medicare enrollment, Evanston Hospital reports Endeavor Health as 5% or greater direct ownership interest (100%).
CMS lists 31 services at Evanston Hospital, including Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Chemotherapy.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Evanston Hospital came from ZIP codes 60062 (2,087), 60201 (1,463), 60035 (1,243).
Evanston Hospital has 732 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 466 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Evanston Hospital is located at 2650 Ridge Avenue, Evanston, IL 60201. Its main phone number is (847) 432-8000.
Evanston Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 140010.
The National Provider Identifier (NPI) on file for Evanston Hospital is 1184670549.
Evanston Hospital is affiliated with NorthShore University Health System.
Evanston Hospital lists 40 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
507 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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