Quorum Health · Granite City, IL
2 of 5
CMS star rating
305
Beds
2,924
Inpatient discharges a year
$77.7M
Net patient revenue a year
21
In-network payers
Gateway Regional is a 305-bed voluntary non-profit - other hospital in Granite City, IL, affiliated with Quorum Health. Below you'll find publicly disclosed negotiated rates and facility details, including 21 in-network payers and 147 disclosed rate categories.
The 24 services Gateway Regional most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$5,788 - $6,396
from 3 insurers · median $6,241
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
Childbirth · Inpatient
MS-DRG 788
$7,995 - $9,096
from 3 insurers · median $8,263
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
Childbirth · Inpatient
MS-DRG 807
$5,788 - $6,396
from 3 insurers · median $6,241
CMS lists this service as CPT 59610, 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
MS-DRG 460
$30,654 - $34,428
from 2 insurers · median $32,541
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$22,103 - $23,513
from 2 insurers · median $22,808
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93306
$2,237 - $7,646
from 4 insurers · median $5,382
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$3,224 - $19,304
from 4 insurers · median $18,351
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$11,562 - $12,271
from 2 insurers · median $11,917
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$298 - $619
from 4 insurers · median $439
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,488 - $2,659
from 2 insurers · median $2,074
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,488 - $2,659
from 2 insurers · median $2,074
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,488 - $2,659
from 2 insurers · median $2,074
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$369 - $14,143
from 4 insurers · median $1,921
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,080 - $7,073
from 2 insurers · median $5,577
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,488 - $2,659
from 2 insurers · median $2,074
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,676 - $34,256
from 4 insurers · median $13,663
Typical for a hospital with this service line
Mammography
CPT 77067
$84 - $169
from 4 insurers · median $113
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$89 - $511
from 4 insurers · median $154
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,220 - $1,705
from 3 insurers · median $1,521
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$150 - $511
from 4 insurers · median $361
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,700 - $4,642
from 2 insurers · median $4,171
Typical for a hospital with this service line
Lung function and sleep
CPT 94060
$914 - $1,667
from 4 insurers · median $1,334
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$204 - $511
from 4 insurers · median $259
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93880
$279 - $2,201
from 2 insurers · median $1,240
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 | 218% | 7 | 13 |
| Insurer B* | 15 | 190% | 3 | 9 |
| Insurer C* | 10 | 153% | 3 | 6 |
| Insurer D* | 23 | 99% | 3 | 17 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 10 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 Gateway Regional, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$77.7M net patient revenue
Ownership and leadership
Owned by American Healthcare Systems Corp Inc
The employer identification numbers (EINs) health plans and networks list for Gateway Regional 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 |
|---|---|---|
| 36-4460628Gateway Regional Medical Center | 27United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Avera Health Plans, BCBS, Centene and 22 more | 1629115654 Gateway Regional Medical Center1417353087 Granite City Illinois Hospital Company LLC1083685986 Granite City Illinois Hospital Company LLCand 7 more |
| 88-3850676Gateway Regional Medical Center | 15Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Avera Health Plans and 10 more | 1326765884 American Healthcare Systems Illinois LLC1043918576 American Healthcare Systems Illinois LLC1760182307 American Healthcare Systems Illinois LLCand 9 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.
2100 Madison Avenue, Granite City, IL 62040
(618) 798-3000
How Gateway Regional compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 5 measures
1 better, 4 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Would definitely recommend
39%
Lower than 99% 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)
0.96
Lower than 53% 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
140 min
Lower than 56% 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
76%
Higher than 76% 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 | 2 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Better on 1 of 5 measures | |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 39% | 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) | 0.96 | 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 | 140 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 76% | 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 Gateway Regional's inpatient payments for its readmissions, quality and cost results.
-0.01% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.16% 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 Gateway Regional, 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 | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.202 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 266 cases | 4.8 | 3.9 | 4.052 | Worse than 85% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.78 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.39 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 29 cases | 7.8 | 8.5 | 8.223 | Better than 68% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 35 cases | 11.8 | 11 | 10.49 | Worse than 65% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 70 cases | 19 | 15.2 | 15.41 | Worse than 92% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.77 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 633 cases | 0.5 | 0.51 | 0.5668 | No Different Than the National Rate | Better than 51% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 173 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 902 cases | 0.2 | 0.2 | 0.2122 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 903 cases | 0.27 | 0.27 | 0.2728 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 50 cases | 2.65 | 2.29 | 2.301 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.67 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.531 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 51 cases | 3.42 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.152 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.741 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 71 cases | 1.05 | 1.02 | 1.045 | No Different Than the National Rate | Worse than 64% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.54 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 46 cases | 5.6 | 1.25 | 8.216 | Worse than 56% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 73 cases | 7.7 | 3.85 | 13.94 | Worse than 56% 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 · 123 cases | 13.4 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.17 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.176 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 | Not Available | 1.016 | Number of cases too small | ||
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 52 cases | 19.9 | 19.8 | 20.07 | Worse than 53% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 82 cases | 22.7 | 21.3 | 21.51 | Worse than 86% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.976 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 111 cases | 18.5 | 17.2 | 17.5 | Worse than 87% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Gateway Regional | 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 | Not Available | 0.315 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.097 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 511 | 1,370 | 4,356 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.423 | 0.9835 | 4.318 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.961 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7494 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2157 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.915 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,088 | 1,799 | 3,807 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.923 | 1.377 | 4.51 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.56 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5759 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3411 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 5 | 61 | 96.21 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.143 | 1.591 | 2.6 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.339 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9044 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3129 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.282 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 84.23 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.7325 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 0.72 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.899 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1945 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.01 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 11,373 | 14,451 | 38,381 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.32 | 0.567 | 2.311 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.305 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5504 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1833 | Better than the National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.605 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 11,373 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 4.948 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.4067 | Better than the National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 88 cases | 53 | 73 | 72.75 | Worse than 99% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 88 cases | 21 | 8 | 9.158 | Worse than 99% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 88 cases | 26 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 85.64 | |||
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 3.195 | |||
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 88 cases | 69 | 80 | 79.29 | Worse than 97% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 90.92 | |||
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 88 cases | 4 | 4 | 4.576 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 3.305 | |||
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 88 cases | 27 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 88 cases | 76 | 79 | 78.82 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 90.1 | |||
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 88 cases | 7 | 5 | 5.823 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 2.89 | |||
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 88 cases | 17 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 88 cases | 59 | 61 | 61.18 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 76.11 | |||
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 88 cases | 23 | 19 | 19.8 | Worse than 73% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 2.559 | |||
| Staff "usually" explained2024-10-01 to 2025-09-30 · 88 cases | 18 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 85.26 | |||
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 88 cases | 17 | 13 | 13.92 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 3.237 | |||
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 88 cases | 83 | 87 | 86.08 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 88 cases | 18 | 14 | 14.8 | Worse than 74% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 88 cases | 82 | 86 | 85.2 | Worse than 74% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 88 cases | 73 | 74 | 73.24 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 88 cases | 9 | 7 | 7.369 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 88 cases | 18 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 88 cases | 74 | 77 | 76.95 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 88 cases | 9 | 6 | 6.199 | Worse than 86% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 88 cases | 17 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 88 cases | 82 | 85 | 84.2 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 88 cases | 3 | 3 | 3.979 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 88 cases | 15 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 88 cases | 25 | 8 | 8.937 | Worse than 99% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 88 cases | 32 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 88 cases | 43 | 72 | 70.19 | Worse than 99% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 87.19 | |||
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 3.136 | |||
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 88 cases | 74 | 74 | 73.94 | Worse than 48% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 88 cases | 9 | 9 | 9.858 | Better than 48% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 88 cases | 17 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 88 cases | 66 | 75 | 74.61 | Worse than 94% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 88 cases | 5 | 5 | 5.915 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 88 cases | 29 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 88 cases | 68 | 77 | 76.32 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 88 cases | 7 | 4 | 4.894 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 88 cases | 25 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 88 cases | 75 | 86 | 84.9 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 88 cases | 2 | 3 | 3.085 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 88 cases | 23 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 88 cases | 50 | 59 | 59.03 | Worse than 80% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 88 cases | 18 | 9 | 10.03 | Worse than 88% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 88 cases | 32 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 81.16 | |||
| Quietness - star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 3.237 | |||
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 88 cases | 20 | 5 | 6.753 | Worse than 99% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 88 cases | 39 | 71 | 68.65 | Worse than 99% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 85.89 | |||
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 88 cases | 41 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 3.458 | |||
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 88 cases | 44 | 47 | 46.95 | Worse than 64% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 88 cases | 38 | 30 | 30.69 | Worse than 87% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 88 cases | 18 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 88 cases | Not Applicable | 3.119 | |||
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 88 cases | 16 | 12 | 13.09 | Worse than 81% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 88 cases | 84 | 88 | 86.91 | Worse than 81% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 | Not Available | 8.656 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.114 | |||
| 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 · 1,044 cases | 28 | 79 | 83.65 | Worse than 97% 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 · 412 cases | 146 | 154 | 183 | Better than 56% 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 | 140 | 148 | 175 | Better than 56% 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 · 35 cases | 250 | 247 | 304 | Worse than 51% 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 · 21,477 cases | 4 | 1 | 2.469 | Worse than 88% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 78.84 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 70 cases | 96 | 97 | 94.09 | Worse 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 · 0 cases | Not Available | 40.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 216 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 · 144 cases | 76 | 65 | 62.57 | Better than 76% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 51 cases | 69 | 73 | 71.03 | Worse than 59% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 29 cases | 93 | 88 | 85.26 | Better than 65% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 145 cases | 90 | 82 | 79.02 | Better than 81% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 107 cases | 97 | 94 | 92.05 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97 | |||
| 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 | Not Available | 94.02 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 678 cases | 87 | 90 | 81.77 | Worse than 57% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 283 cases | 88 | 97 | 94.61 | Worse than 85% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.7 | 5 | 6.493 | Worse than 75% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4 | 6.6 | 7.806 | Better than 83% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1 | 0.99 | 0.9996 | Worse than 53% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 85 cases | 37.6 | 60.8 | 61.49 | Worse than 94% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 85 cases | 12.9 | 35.5 | 35.96 | Worse than 99% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 4,077 cases | 0.12 | 0.05 | 0.399 | Better than 64% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 4,077 cases | 0.37 | 0.03 | 0.09122 | Better than 85% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 279 cases | 97 | 87 | 78.18 | Better than 78% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 107 cases | 71 | 78.1 | 76.67 | Worse than 79% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 199 cases | 22.4 | 19.1 | 20.08 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 341 cases | 94 | 92 | 82.91 | Better than 57% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 103 cases | 54 | 74 | 63.93 | Worse than 68% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 76 cases | 49 | 81 | 72.61 | Worse than 79% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 141 cases | 40 | 77 | 69.11 | Worse than 83% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 141 cases | 35 | 56 | 55.13 | Worse than 71% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 163 cases | 32 | 64 | 55.46 | Worse than 72% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 163 cases | 21 | 4 | 24.33 | Better than 69% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 609 cases | 23 | 77 | 54.33 | Worse than 77% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 13.33 | 20 | 28.09 | Worse than 64% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 4.444 | 5 | 7.071 | Worse than 55% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 30 | 10 | 13.71 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 3.521 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | Not Available | 34.29 | |||
| VBP person and community engagement weighted domain scoreFY 2026 | Not Available | 8.88 | |||
| VBP safety domain scoreFY 2026 | 36.67 | 40 | 36.66 | Worse than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 12.22 | 10 | 9.377 | Better than 64% of US hospitals | |
| VBP total performance scoreFY 2026 | 26.67 | 29.5 | 28.2 | Worse than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 16 | 36 | 40 | 6.667 | 13.33 |
| VBP clinical outcomes weighted domain score | 4 | 9 | 10 | 1.667 | 4.444 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 70 | 50 | 30 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 17.5 | 12.5 | 10 |
| VBP person and community engagement domain score | 5 | Not Available | Not Available | 6 | Not Available |
| VBP person and community engagement weighted domain score | 1.25 | Not Available | Not Available | 1.5 | Not Available |
| VBP safety domain score | 5 | Not Available | Not Available | 23.33 | 36.67 |
| VBP safety weighted domain score | 1.25 | Not Available | Not Available | 5.833 | 12.22 |
| VBP total performance score | 9 | Not Available | Not Available | 21.5 | 26.67 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.007 | 0.9969 | 1.009 | Worse than 59% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9815 | 0.9983 | 1.013 | Better than 62% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.055 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 79 cases | 1.004 | 0.9955 | 1.018 | Worse than 56% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9579 | 1.018 | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.072 | 1.031 | 0.984 | 1.033 | 0.9919 | 1.007 |
| READM-30-HF-HRRP | 1.16 | 1.164 | 1.095 | 1.02 | 1.002 | 0.9815 |
| READM-30-HIP-KNEE-HRRP | 0.9181 | 0.9186 | 0.9622 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.042 | 1.034 | 1.058 | 1.036 | 1.035 | 1.004 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Gateway Regional | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.756 | 0.489 | 0.5958 | Worse than 75% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.506 | 0.346 | 0.436 | Worse than 73% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.7638 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6364 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9554 | 0.9628 | 0.9883 | Better than 53% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9041 | |||
| Total HAC scoreFY 2026 | -0.1591 | -0.0453 | 0.07842 | Better than 58% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | Yes | Yes | No |
| Total HAC score | 0.5486 | 0.6766 | 0 | 0.4433 | 0.5521 | -0.1591 |
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
None
Medical school affiliation
Other
Ownership type
406
Medicare-certified beds
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Gateway Regional reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
2,924
Inpatient discharges
Medicare 9%, Medicaid 0%
12,149
Inpatient days
12% of available bed days used
403
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838482). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Gateway Regional reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,190 | 55 | 10,904 | 12,149 |
| Discharges | 272 | 11 | 2,641 | 2,924 |
| Average length of stay | 4.4 days | 5.0 days | 4.1 days | 4.2 days |
| Average daily census | 3.3 | 0.2 | 29.9 | 33.3 |
306
Medicare Advantage days
73 discharges
4,964
Medicaid managed care days
1,239 discharges
183
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 276 | 11,291 | 1,032 | 11% |
| Intensive care unit | 12 | 858 | 158 | 20% |
| Subprovider - ipf | 17 | 3,734 | 1,830 | 60% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838482, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Gateway Regional treats Medicare patients for most often, in 2024. 254 Medicare discharges in 8 published DRGs; 0% surgical; 48% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 131 | $52,868 | $10,476 | $8,142 | 1.37 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 40 | $126,579 | $13,859 | $19,493 | 1.98 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $94,091 | $11,677 | $14,490 | 1.59 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $103,318 | $9,371 | $15,911 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 15 | $96,150 | $9,576 | $14,807 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 11 | $108,334 | $12,127 | $16,683 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $86,366 | $7,897 | $13,300 | 1.10 |
| Renal failure with MCCMS-DRG 682, medical | 11 | $81,052 | $10,565 | $12,482 | 1.50 |
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) Gateway Regional billed Medicare for most in 2024: 86 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 86 | 82 | $38,670 | $2,014 | $2,090 |
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 Gateway Regional 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 1,287 in 2020 to 256 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 62040 | 222 | 87% | 919 | $23.5M | 9% | 34% |
| 62060 | 23 | 9% | 95 | $2.4M | 10% | 45% |
| 62234 | 11 | 4% | 108 | $1.6M | 1% | 3% |
Source: CMS Hospital Service Area file. Shares are of the 256 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 Gateway Regional reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
20
Rehabilitation unit beds
2
Off-site locations
2
Off-site urgent care centers
Source: CMS Provider of Services file.
92 clinicians who bill Medicare list Gateway Regional 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.
John Visconti, DO
Medical Oncology Physician
NPI 1033167846
See commercial rates for John Visconti, DOLeann Nitz, NP
Family Nurse Practitioner
NPI 1952701666
See commercial rates for Leann Nitz, NPMahendra Gunapooti, MD
Interventional Pain Medicine Physician
NPI 1114034931
See commercial rates for Mahendra Gunapooti, MDHarvey Serota, M.D.
Interventional Cardiology Physician
NPI 1346264017
See commercial rates for Harvey Serota, M.D.Saulius Kalvaitis, MD
Clinical Cardiac Electrophysiology Physician
NPI 1023218278
See commercial rates for Saulius Kalvaitis, MDKent Adkins, MD
Urology Physician
NPI 1962460238
See commercial rates for Kent Adkins, MDToniya Singh, M.D.
Cardiovascular Disease Physician
NPI 1629082847
See commercial rates for Toniya Singh, M.D.Laishang Zhang, M.D.
Psychiatry Physician
NPI 1235143942
See commercial rates for Laishang Zhang, M.D.Gil Vardi, M.D.
Interventional Cardiology Physician
NPI 1437173119
See commercial rates for Gil Vardi, M.D.Ahsan Usman, MD
Hospitalist Physician
NPI 1215016571
See commercial rates for Ahsan Usman, MDRafiq Ramadan, M.D.
Interventional Cardiology Physician
NPI 1396769055
See commercial rates for Rafiq Ramadan, M.D.Inderjit Singh, MD
Nephrology Physician
NPI 1609842434
See commercial rates for Inderjit Singh, MDSanjaya Saheta, MD
Interventional Cardiology Physician
NPI 1891779062
See commercial rates for Sanjaya Saheta, MDUsman Qayyum, M.D.
Interventional Cardiology Physician
NPI 1992728000
See commercial rates for Usman Qayyum, M.D.Rajinder Mahay, MD
Internal Medicine Physician
NPI 1669490421
See commercial rates for Rajinder Mahay, MDMohammad Tahir, M.D.
Cardiovascular Disease Physician
NPI 1881608008
See commercial rates for Mohammad Tahir, M.D.Tshiswaka Kayembe, M.D.
Cardiovascular Disease Physician
NPI 1164477766
See commercial rates for Tshiswaka Kayembe, M.D.Lawrence Harmon, MD
Internal Medicine Physician
NPI 1275526956
See commercial rates for Lawrence Harmon, MDSriraj Kanungo, M.D.
Nephrology Physician
NPI 1548355621
See commercial rates for Sriraj Kanungo, M.D.Rashid Dalal, MD
Nephrology Physician
NPI 1265434815
See commercial rates for Rashid Dalal, MDSaad Alkaade, M.D.
Internal Medicine Physician
NPI 1033433594
See commercial rates for Saad Alkaade, M.D.Henry Purcell, M.D.
Nephrology Physician
NPI 1467530410
See commercial rates for Henry Purcell, M.D.Naeem Aslam, MD
Gastroenterology Physician
NPI 1750347902
See commercial rates for Naeem Aslam, MDPeter Anderson, MD
Orthopaedic Surgery Physician
NPI 1548245848
See commercial rates for Peter Anderson, MDSource: 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 Gateway Regional reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $528.2M | 679.5% |
| Inpatient | $245.7M | 316.1% |
| Outpatient | $282.5M | 363.4% |
| Contractual allowances and discounts | -$450.4M | -579.5% |
| Net patient revenue | $77.7M | 100.0% |
| Operating expenses | -$98.7M | -127.0% |
| Operating income from patient care | -$21M | -27.0% |
| Other income | $548,899 | 0.7% |
| Investment income | $3,857 | 0.0% |
| Other | $545,042 | 0.7% |
| Net income | -$20.4M | -26.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $34.8M | 6.6% |
| Medicaid (including managed care) | $217.8M | 41.3% |
| Other payers and self-pay | $274.1M | 52.0% |
| Total charges | $526.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838482, 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 Gateway Regional's latest cost report.
-27.0%
Operating margin
Operating income from patient care / net patient revenue
-26.1%
Total margin
Net income / net patient revenue plus other income
-24.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.08
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-71.7%
Return on assets
Net income for a year / total assets
0.14
Current ratio
Current assets / current liabilities
0.22
Quick ratio
Cash, temporary investments and net receivables / current liabilities
2 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
83 days
Days in patient receivables
Net patient receivables / daily net patient revenue
309 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.75
Asset turnover
Total revenue for a year / total assets
2.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838482, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Gateway Regional owned and owed at the end of its reporting period (Dec 2025), across all fund types: $28.5M in total assets and a -$53.9M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $636,346 | 2.2% |
| Patient receivables, net | $17.7M | 62.1% |
| Inventory | $2.6M | 9.2% |
| Total current assets | $11.9M | 41.8% |
| Property and equipment, net of depreciation | $16.6M | 58.2% |
| Total assets | $28.5M | 100.0% |
| Current liabilities | $82.4M | 289.3% |
| Total liabilities | $82.4M | 289.3% |
| Fund balance (net assets) | -$53.9M | -189.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838482, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Gateway Regional provided without full payment, as reported on Worksheet S-10 of its cost report.
$718,389
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$27.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$28.3M
Total unreimbursed and uncompensated care
28.7% 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 838482, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Gateway Regional's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $90.1M | $97.8M | $98.8M | $14.6M | $44.8M | $77.7M |
| Operating expenses | $102.4M | $102.8M | $111.1M | $87.3M | $91M | $98.7M |
| Operating margin | -13.6% | -5.1% | -12.5% | -497.2% | -103.4% | -27.0% |
| Net income | $9.6M | $125,548 | -$7.4M | -$69.6M | -$28.7M | -$20.4M |
| Total assets | $46.3M | $43.7M | $41.4M | -$41.6M | $28.9M | $28.5M |
| Discharges | 4,376 | 4,773 | 4,265 | 3,558 | 3,463 | 2,924 |
| Inpatient days | 19,119 | 19,076 | 17,068 | 13,226 | 13,181 | 12,149 |
| Medicare Advantage days | 1,889 | 968 | 2,956 | 153 | 313 | 306 |
| Beds | 305 | 305 | 305 | 305 | 305 | 305 |
| Employees (FTE) | 437 | 418 | 382 | 372 | 555 | 403 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838482, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Gateway Regional 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 |
|---|---|---|---|---|---|
| Emergency | $4.1M | $10.9M | $135.1M | 0.08 | 10,077 |
| Laboratory | $1.7M | $5.4M | $102M | 0.05 | 8,722 |
| Operating room | $1.2M | $5.4M | $16.2M | 0.33 | 35,846 |
| Radiology-diagnostic | $1.8M | $5.3M | $52.3M | 0.10 | 25,661 |
| Drugs charged to patients | $299,014 | $4.4M | $14.3M | 0.31 | |
| Physical therapy | $1.2M | $2.7M | $8.9M | 0.30 | 16,842 |
| Electrocardiology | $768,120 | $2.1M | $27.6M | 0.08 | 4,922 |
| Respiratory therapy | $824,062 | $1.8M | $18.5M | 0.10 | 7,139 |
| Recovery room | $696,762 | $1.3M | $4.7M | 0.28 | 1,547 |
| Impl. dev. charged to patients | $906,741 | $2.3M | 0.39 | ||
| Sleep lab | $243,934 | $696,305 | $837,785 | 0.83 | 6,714 |
| Clinic | $120,601 | $614,103 | $890,702 | 0.69 | 8,395 |
| Wound care | $209,205 | $467,928 | $1.3M | 0.36 | 2,727 |
| Medical supplies charged to patient | $454,674 | $1.3M | 0.35 | ||
| Renal dialysis | $176,035 | $434,868 | $1.8M | 0.24 | |
| Observation beds (non-distinct part | $289,788 | $11.5M | 0.03 | ||
| Psychiatric/psychological services | $145,270 | $1.6M | 0.09 | 3,470 | |
| Anesthesiology | $59,945 | $4.3M | 0.01 | 492 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $7.7M | $18.2M | $88.2M | 0.21 | 71,165 |
| Intensive care unit | $1.5M | $3.7M | $9.7M | 0.39 | 21,621 |
| Subprovider - ipf | $1.6M | $3.7M | $23.5M | 0.16 | 11,244 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6.9M | $13.7M | 173,790 | $39.84 | 67,970 |
| Employee benefits department | $8.2M | 2,285 | |||
| Operation of plant | $1M | $5.1M | 29,134 | $35.91 | 155,489 |
| Nursing administration | $2.2M | $2.3M | 43,212 | $50.45 | 227 |
| Cap rel costs-bldg & fixt | $2M | 646,643 | |||
| Housekeeping | $529,509 | $2M | 11,318 | $22.73 | 5,631 |
| Pharmacy | $1.2M | $1.5M | 27,928 | $41.55 | 4,890 |
| Dietary | $580,576 | $1.1M | 8,422 | $16.49 | 8,360 |
| Cap rel costs-mvble equip | $811,230 | ||||
| Medical records & library | $262,050 | $748,167 | 11,791 | $22.22 | 19,545 |
| Laundry & linen service | $12,936 | 3,771 | |||
| Central services & supply | $7,290 | 6,858 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838482, 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 Gateway Regional for an inpatient stay.
1.47
Case mix index
Higher than 24% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
49.9%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
311
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 | 1.33 | 1.34 | 1.49 | 1.46 | 1.49 | 1.58 | 1.47 |
| Wage index | 0.915 | 0.942 | 0.934 | 0.976 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -1.10% | -0.92% | -0.82% | -0.31% | -0.15% | -0.09% | -0.01% |
| Value-based purchasing adjustment | -0.67% | -1.42% | -1.42% | +0.62% | +0.04% | 0.00% | -0.16% |
| Medicare inpatient stays | 1,240 | 1,240 | 1,072 | 728 | 428 | 415 | 311 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Gateway Regional reports to Medicare as owners or with operational control. 2 individuals also hold ownership interests; they are not listed here.
American Healthcare Systems Corp Inc
5% or greater direct ownership interest, 100%, since 2023
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on Gateway Regional'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 2 of 4 are shown.
Helipad
Gateway Rgnl Medical Center
FAA location ID 38LL, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Psych dpu
CCN 14S125, certified 1984, Medicare prospective payment
Source: Worksheet S-2 Part I of Gateway Regional's latest Medicare cost report (HCRIS).
About Gateway Regional's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Gateway Regional range from $298 to $619 across 4 insurers. UnitedHealthcare's rate is $298. The median at nearby comparable hospitals is $804. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Gateway Regional range from $1,488 to $2,659 across 2 insurers. Aetna's rate is $2,659. The median at nearby comparable hospitals is $2,857. 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 Gateway Regional range from $5,788 to $6,396 across 3 insurers. Cigna's rate is $6,396. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Gateway Regional range from $84 to $169 across 4 insurers. Cigna's rate is $169. The median at nearby comparable hospitals is $200. 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 Gateway Regional range from $3,224 to $19,304 across 4 insurers. Aetna's rate is $18,402. The median at nearby comparable hospitals is $22,933. What a patient pays depends on their plan's deductible, coinsurance and network status.
Gateway Regional has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.
CMS reports no Medicare-funded interns or residents at Gateway Regional for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Gateway Regional's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were psychoses (131 discharges), septicemia or severe sepsis without mv >96 hours with mcc (40 discharges), acute myocardial infarction, discharged alive with mcc (19 discharges).
Gateway Regional's Medicare case mix index is 1.47 for fiscal year 2027, higher than 24% of hospitals paid under the inpatient prospective payment system.
Gateway Regional reported 2,924 inpatient discharges and 12,149 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Gateway Regional reported 403 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Gateway Regional reported $77.7M in net patient revenue on $528.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -27.0%, and net income of -$20.4M.
Gateway Regional reported $28.3M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $718,389 of charity care at cost.
Insurers' price transparency files list Gateway Regional under employer identification number 36-4460628 (Gateway Regional Medical Center), and 1 other tax ID. 27 health plans and networks list 36-4460628 for it.
92 clinicians who bill Medicare list Gateway Regional as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (11), family nurse practitioner (7), interventional cardiology physician (7).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Gateway Regional, effective 2025.
In its Medicare enrollment, Gateway Regional reports American Healthcare Systems Corp Inc as 5% or greater direct ownership interest (100%).
CMS lists 38 services at Gateway Regional, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Gateway Regional came from ZIP codes 62040 (222), 62060 (23), 62234 (11).
Gateway Regional has 305 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 406 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Gateway Regional is located at 2100 Madison Avenue, Granite City, IL 62040. Its main phone number is (618) 798-3000.
Gateway Regional's CMS Certification Number (CCN), also called its Medicare provider number, is 140125.
The National Provider Identifier (NPI) on file for Gateway Regional is 1083685986.
Gateway Regional is affiliated with Quorum Health.
Gateway Regional lists 21 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
147 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