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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Harrisburg Medical Center Inc.

Harrisburg, IL

100 Dr Warren Tuttle Drive, Harrisburg, IL 62946(618) 253-7671

2 of 5

CMS star rating

71

Beds

679

Inpatient discharges a year

$71.5M

Net patient revenue a year

31

In-network payers

About this hospital

Harrisburg Medical Center Inc. is a 71-bed voluntary non-profit - other hospital in Harrisburg, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 115 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • ACO participant
CCN
140210
NPI
1073580130
Website
sih.net
Teaching
No Medicare-funded residents
County
Saline County
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1975
Last CMS survey
1993

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very Low

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

...

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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 134 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 21 services
    • 248 affiliated clinicians
    See doctors and services
  • Finances

    $71.5M net patient revenue

    • Operating margin on patient care 17.9%
    • $2.2M unreimbursed and uncompensated care
    • $17.4M net income
    See finances
  • Ownership and leadership

    Owned by Southern Illinois Healthcare Enterprises Inc

    • Other
    • John D Antes, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
23-7426289(multi-state) Harrisburg Medical Center INC51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 46 more1073580130 Harrisburg Medical Center Inc1073581872 Harrisburg Medical Center Inc1093783896 Harrisburg Medical Center Incand 7 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

100 Dr Warren Tuttle Drive, Harrisburg, IL 62946

(618) 253-7671

Get directions

Frequently asked questions

About Harrisburg Medical Center Inc.'s rates and hospital price transparency.

What is Harrisburg Medical Center Inc.'s CMS star rating?

Harrisburg Medical Center Inc. 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.

Is Harrisburg Medical Center Inc. a teaching hospital?

CMS reports no Medicare-funded interns or residents at Harrisburg Medical Center Inc. for fiscal year 2027.

Does Medicare penalize Harrisburg Medical Center Inc. for readmissions?

No. Harrisburg Medical Center Inc. has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Harrisburg Medical Center Inc.?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (53 discharges), simple pneumonia and pleurisy with mcc (18 discharges), pulmonary edema and respiratory failure (16 discharges).

What is Harrisburg Medical Center Inc.'s case mix index?

Harrisburg Medical Center Inc.'s Medicare case mix index is 1.26 for fiscal year 2027, higher than 8% of hospitals paid under the inpatient prospective payment system.

How many patients does Harrisburg Medical Center Inc. admit?

Harrisburg Medical Center Inc. reported 679 inpatient discharges and 1,633 inpatient days from Apr 1, 2025 to Mar 31, 2026.

How many employees does Harrisburg Medical Center Inc. have?

Harrisburg Medical Center Inc. reported 189 full-time-equivalent employees on payroll from Apr 1, 2025 to Mar 31, 2026.

How much revenue does Harrisburg Medical Center Inc. make?

Harrisburg Medical Center Inc. reported $71.5M in net patient revenue on $200.7M of gross charges for Apr 1, 2025 to Mar 31, 2026, an operating margin of 17.9%, and net income of $17.4M.

How much charity and uncompensated care does Harrisburg Medical Center Inc. provide?

Harrisburg Medical Center Inc. reported $2.2M of unreimbursed and uncompensated care for Apr 1, 2025 to Mar 31, 2026, including $806,985 of charity care at cost.

Who is the CEO of Harrisburg Medical Center Inc.?

Harrisburg Medical Center Inc.'s Medicare enrollment lists John D Antes as President/ceo since 2022.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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