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Gottlieb Memorial Hospital

Trinity Health
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Hospital Overview
Facility Details

CCN

140008

NPI

1831170232

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Private

Beds

247

Contact Information

Address

701 West North Avenue

Melrose Park, IL 60160

Phone

(708) 681-3200

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information
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💡 The data below comes from CMS-mandated price transparency data. Learn more.

💡 Tip: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Outpatient

HCPCS

Drugs Administered Other than Oral Method

Range: J0120 - J8999

Negotiated

High

Aetna

Facility

RC

Room and Board Deluxe Private

Range: 0140 - 0149

Negotiated

Very Low

Aetna

Outpatient

CPT

Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

Aetna

Facility

RC

Behavioral Health Treatments/Services (also see 091X, and extension of 090X)

Range: 0900 - 0909

Negotiated

High

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Negotiated

Very High

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Respiratory System

Range: 163 - 208

Negotiated

Low

Aetna

Outpatient

CPT

Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

Aetna

Inpatient

MS-DRG

Infectious & Parasitic Diseases, Systemic or Unspecified Sites

Range: 853 - 872

Negotiated

Low

Aetna

Inpatient

MS-DRG

Diseases & Disorders of the Kidney & Urinary Tract

Range: 650 - 700

Negotiated

Low

Aetna

Outpatient

CPT

Evaluation and Management

Range: 99091 - 99499

Negotiated

High

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Hospital Location
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