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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Franciscan Health Munster

Franciscan Health · Munster, IN

701 Superior Avenue, Munster, IN 46321(219) 922-4200

3 of 5

CMS star rating

78

Beds

4,248

Inpatient discharges a year

$157.8M

Net patient revenue a year

35

In-network payers

About this hospital

Franciscan Health Munster is a 78-bed voluntary non-profit - private hospital in Munster, IN, affiliated with Franciscan Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 399 disclosed rate categories.

  • Disproportionate share hospital
  • ACO participant
  • Helipad
CCN
150165
NPI
1427493246
Health system
Franciscan Health
Teaching
No Medicare-funded residents
County
Lake County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
2007
Last CMS survey
2017

Prices for common services

The 24 services Franciscan Health Munster 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

Cataract removal with lens insertion

CPT 66984

$4,390 - $9,335

from 4 insurers · median $6,695

Aetna$5,280
Insurer A*$4,390
Insurer B*est.$8,110
Insurer C*est.$9,335
Medicare $2,300Nearby hospitals $4,34854% above nearby hospitals

307 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$19,366 - $40,426

from 4 insurers · median $25,043

Aetna$19,366
Insurer A*$21,633
Insurer B*est.$28,452
Insurer C*est.$40,426
Medicare $6,026Nearby hospitals $6,458288% above nearby hospitals

27 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$846 - $1,793

from 4 insurers · median $1,049

Blue Cross$1,248
Insurer A*$846
Insurer B*$850
Insurer C*$1,793
Medicare $348Nearby hospitals $2,20752% below nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,706 - $2,285

from 4 insurers · median $1,893

Blue Cross$1,955
Insurer A*$1,706
Insurer B*$1,830
Insurer C*$2,285
Medicare $545Nearby hospitals $1,42932% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Franciscan Health Munster

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
492%
145
Insurer B*23
406%
104
Insurer C*24
350%
1013
Insurer D*24
280%
203

How we chose these services: 4 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Franciscan Health Munster, 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

    • 150 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.76%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 29 services
    • 467 affiliated clinicians
    See doctors and services
  • Finances

    $157.8M net patient revenue

    • Operating margin on patient care -13.8%
    • $5.8M unreimbursed and uncompensated care
    • -$2.8M net income
    See finances
  • Ownership and leadership

    Owned by Franciscan Alliance Inc

    • Private (not for profit)
    • Dean Anthony Mazzoni, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-2472136Franciscan Health Munster58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1427493246 Franciscan Health Munster1003944109 Franciscan Physicians Hospital LLC1770582744 Heartland Memorial Hospital LLCand 2 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

701 Superior Avenue, Munster, IN 46321

(219) 922-4200

Get directions

Frequently asked questions

About Franciscan Health Munster's rates and hospital price transparency.

How much does an MRI cost at Franciscan Health Munster?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Franciscan Health Munster range from $900 to $1,793 across 4 insurers. Cigna's rate is $1,150. The median at nearby comparable hospitals is $2,768. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Franciscan Health Munster?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Franciscan Health Munster range from $846 to $1,793 across 4 insurers. Blue Cross Blue Shield's rate is $1,248. The median at nearby comparable hospitals is $2,207. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Franciscan Health Munster?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Franciscan Health Munster range from $1,374 to $4,531 across 4 insurers. Aetna's rate is $1,374. The median at nearby comparable hospitals is $2,542. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Franciscan Health Munster?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Franciscan Health Munster range from $202 to $292 across 4 insurers. Blue Cross Blue Shield's rate is $214. The median at nearby comparable hospitals is $375. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Franciscan Health Munster's CMS star rating?

Franciscan Health Munster 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 Franciscan Health Munster a teaching hospital?

CMS reports no Medicare-funded interns or residents at Franciscan Health Munster for fiscal year 2027.

Does Medicare penalize Franciscan Health Munster for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Franciscan Health Munster's base inpatient payments by an estimated 0.76% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Franciscan Health Munster?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (80 discharges), heart failure and shock with mcc (69 discharges), simple pneumonia and pleurisy with mcc (47 discharges).

What is Franciscan Health Munster's case mix index?

Franciscan Health Munster's Medicare case mix index is 1.69 for fiscal year 2027, higher than 51% of hospitals paid under the inpatient prospective payment system.

How many patients does Franciscan Health Munster admit?

Franciscan Health Munster reported 4,248 inpatient discharges and 17,980 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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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