Sinai Health System · Chicago, IL
2 of 5
CMS star rating
153
Beds
5,014
Inpatient discharges a year
$114.7M
Net patient revenue a year
44
In-network payers
Holy Cross Health is a 153-bed voluntary non-profit - private hospital in Chicago, IL, affiliated with Sinai Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 44 in-network payers and 408 disclosed rate categories.
The 24 services Holy Cross Health 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
$5,367 - $11,585
from 3 insurers · median $8,357
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
$7,643 - $16,484
from 4 insurers · median $9,451
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
Childbirth · Inpatient
MS-DRG 807
$5,367 - $11,585
from 3 insurers · median $8,357
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 neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$38,275 - $62,351
from 2 insurers · median $50,313
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$19,933 - $41,958
from 4 insurers · median $30,338
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$15,398 - $33,158
from 4 insurers · median $23,834
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$13,543 - $23,809
from 3 insurers · median $21,007
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 74177
$494 - $3,260
from 4 insurers · median $705
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$545 - $1,528
from 4 insurers · median $1,214
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$227 - $1,036
from 4 insurers · median $496
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,144 - $3,932
from 4 insurers · median $3,064
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$399 - $2,392
from 4 insurers · median $1,796
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$149 - $332
from 4 insurers · median $172
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$345 - $2,536
from 4 insurers · median $533
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$122 - $272
from 4 insurers · median $145
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$352 - $5,694
from 4 insurers · median $937
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$572 - $2,392
from 4 insurers · median $1,410
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$235 - $2,392
from 4 insurers · median $1,070
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$237 - $2,005
from 4 insurers · median $524
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$168 - $2,721
from 4 insurers · median $1,124
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,422 - $4,799
from 3 insurers · median $2,834
Typical for a hospital with this service line
MRI imaging
CPT 70551
$157 - $3,522
from 4 insurers · median $1,124
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$710 - $2,392
from 4 insurers · median $1,647
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$173 - $315
from 4 insurers · median $309
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* | 20 | 274% | 7 | 11 |
| Insurer B* | 23 | 247% | 16 | 4 |
| Insurer C* | 24 | 237% | 5 | 16 |
| Insurer D* | 23 | 135% | 9 | 9 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 8 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 Holy Cross Health, 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 ACHC
Finances
$114.7M net patient revenue
Ownership and leadership
Owned by Sinai Health System
The employer identification numbers (EINs) health plans and networks list for Holy Cross Health 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 |
|---|---|---|
| 36-2170133Holy Cross Hospital | 49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more | 1962425611 Holy Cross Hospital1427547538 Holy Cross Hospital1770335770 Holy Cross Hospitaland 6 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.
2701 West 68th Street, Chicago, IL 60629
(773) 884-9000
How Holy Cross Health 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
Better on 1 of 5 measures
1 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 5 measures
1 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 5 measures
0 better, 4 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
1 of 5
The lowest rating, shared by 2% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
44%
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)
0.93
Lower than 63% 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
173 min
Higher than 66% 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
57%
Lower than 69% 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 | Better on 1 of 5 measures | |
| Safety | Better on 1 of 5 measures | |
| Readmissions | Worse on 1 of 5 measures | |
| Patient survey ratingCMS: Summary star rating | 1 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 44% | 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) | 0.93 | 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 | 173 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 57% | 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 Holy Cross Health's inpatient payments for its readmissions, quality and cost results.
-0.17% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
0.00% 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 Holy Cross Health, 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 | Holy Cross Health | 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 · 646 cases | 4.1 | 3.9 | 4.052 | Worse than 57% 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 · 49 cases | 7 | 8.5 | 8.223 | Better than 87% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 91 cases | 9.5 | 11 | 10.49 | Better than 78% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 79 cases | 16.8 | 15.2 | 15.41 | Worse than 73% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 46 cases | 9.8 | 11.6 | 11.77 | Better than 83% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,034 cases | 0.4 | 0.51 | 0.5668 | No Different Than the National Rate | Better than 67% 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 · 1,231 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 · 1,285 cases | 0.26 | 0.27 | 0.2728 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.301 | Number of Cases Too Small | ||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.67 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.531 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.714 | Number of Cases Too Small | ||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.152 | |||
| 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 · 76 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 | Holy Cross Health | 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 · 116 cases | 19.4 | 1.25 | 8.216 | Worse than 73% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 77 cases | 35.9 | 3.85 | 13.94 | Worse than 86% 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 · 78 cases | 13.2 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 62% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.17 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.176 | Number of Cases Too Small | ||
| 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 · 118 cases | 21.7 | 19.8 | 20.07 | Worse than 96% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 231 cases | 23.3 | 21.3 | 21.51 | Worse than 93% 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 · 185 cases | 16.9 | 17.2 | 17.5 | Better than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Holy Cross Health | 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 | 1.241 | 0.172 | 0.315 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 7.509 | 1.504 | 2.097 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,378 | 1,370 | 4,356 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.476 | 0.9835 | 4.318 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 2.961 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 3.388 | 0.484 | 0.7494 | Worse than the National Benchmark | Worse than 99% of US hospitals |
| 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 | 1,845 | 1,799 | 3,807 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.974 | 1.377 | 4.51 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 2 | 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 | Not Available | 96.21 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.6 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | No Different than National Benchmark | ||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.096 | 1.855 | 2.01 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 26,816 | 14,451 | 38,381 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.429 | 0.567 | 2.311 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.305 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0 | 0.597 | 0.5504 | No Different than National Benchmark | The best result, shared by 18% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.004 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.428 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 26,816 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 11.53 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.087 | 0.279 | 0.4067 | Better than the National Benchmark | Better than 76% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Holy Cross Health | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 208 cases | 64 | 73 | 72.75 | Worse than 85% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 208 cases | 16 | 8 | 9.158 | Worse than 92% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 208 cases | 20 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 208 cases | 81 | 87 | 85.64 | Worse than 87% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 208 cases | 2 | 4 | 3.195 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 208 cases | 70 | 80 | 79.29 | Worse than 95% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 208 cases | 84 | 91 | 90.92 | Worse than 98% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 208 cases | 13 | 4 | 4.576 | Worse than 99% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 208 cases | 1 | 3 | 3.305 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 208 cases | 17 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 208 cases | 70 | 79 | 78.82 | Worse than 95% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 208 cases | 85 | 91 | 90.1 | Worse than 97% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 208 cases | 13 | 5 | 5.823 | Worse than 99% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 208 cases | 2 | 3 | 2.89 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 208 cases | 17 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 208 cases | 57 | 61 | 61.18 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 208 cases | 69 | 77 | 76.11 | Worse than 95% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 208 cases | 32 | 19 | 19.8 | Worse than 98% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 208 cases | 1 | 3 | 2.559 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 208 cases | 11 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 208 cases | 75 | 86 | 85.26 | Worse than 98% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 208 cases | 24 | 13 | 13.92 | Worse than 98% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 208 cases | 1 | 3 | 3.237 | The lowest rating, shared by 4% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 208 cases | 76 | 87 | 86.08 | Worse than 98% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 208 cases | 25 | 14 | 14.8 | Worse than 96% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 208 cases | 75 | 86 | 85.2 | Worse than 96% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 208 cases | 67 | 74 | 73.24 | Worse than 89% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 208 cases | 14 | 7 | 7.369 | Worse than 98% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 208 cases | 19 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 208 cases | 67 | 77 | 76.95 | Worse than 96% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 208 cases | 15 | 6 | 6.199 | Worse than 99% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 208 cases | 18 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 208 cases | 77 | 85 | 84.2 | Worse than 95% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 208 cases | 10 | 3 | 3.979 | Worse than 99% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 208 cases | 13 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 208 cases | 21 | 8 | 8.937 | Worse than 98% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 208 cases | 29 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 208 cases | 50 | 72 | 70.19 | Worse than 99% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 208 cases | 78 | 88 | 87.19 | Worse than 98% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 208 cases | 1 | 3 | 3.136 | The lowest rating, shared by 2% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 208 cases | 66 | 74 | 73.94 | Worse than 92% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 208 cases | 23 | 9 | 9.858 | Worse than 99% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 208 cases | 11 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 208 cases | 67 | 75 | 74.61 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 208 cases | 16 | 5 | 5.915 | Worse than 99% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 208 cases | 17 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 208 cases | 67 | 77 | 76.32 | Worse than 94% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 208 cases | 14 | 4 | 4.894 | Worse than 99% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 208 cases | 19 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 208 cases | 76 | 86 | 84.9 | Worse than 97% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 208 cases | 10 | 3 | 3.085 | Worse than 99% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 208 cases | 14 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 208 cases | 45 | 59 | 59.03 | Worse than 90% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 208 cases | 25 | 9 | 10.03 | Worse than 97% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 208 cases | 30 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 208 cases | 70 | 82 | 81.16 | Worse than 96% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 208 cases | 1 | 3 | 3.237 | The lowest rating, shared by 4% 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 · 208 cases | 19 | 5 | 6.753 | Worse than 99% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 208 cases | 44 | 71 | 68.65 | Worse than 99% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 208 cases | 72 | 87 | 85.89 | Worse than 99% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 208 cases | 37 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 208 cases | 1 | 4 | 3.458 | The lowest rating, shared by 3% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 208 cases | 48 | 47 | 46.95 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 208 cases | 41 | 30 | 30.69 | Worse than 94% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 208 cases | 11 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 208 cases | 1 | 3 | 3.119 | The lowest rating, shared by 2% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 208 cases | 23 | 12 | 13.09 | Worse than 98% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 208 cases | 77 | 88 | 86.91 | Worse than 98% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Holy Cross Health | 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 · 6,947 cases | 16 | 8 | 8.656 | Worse than 95% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 1,071 cases | 2 | 1 | 1.114 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 1,339 cases | 1 | 0 | 0.2258 | Worse than 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 639 cases | 96 | 79 | 83.65 | Better than 90% 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 · 405 cases | 188 | 154 | 183 | Worse than 71% 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 · 357 cases | 173 | 148 | 175 | Worse than 66% 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 · 36 cases | 322 | 247 | 304 | Worse than 74% 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 · 12 cases | 414 | 293 | 315 | Worse than 86% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 38,272 cases | 1 | 1 | 2.469 | Better than 42% 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 · 76 cases | 100 | 97 | 94.09 | The best result, shared by 27% 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 | Not Available | 40.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 270 cases | 9 | 15 | 15.81 | Better than 86% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 247 cases | 57 | 65 | 62.57 | Worse than 69% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 85 cases | 69 | 73 | 71.03 | Worse than 59% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 50 cases | 88 | 88 | 85.26 | Worse than 50% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 248 cases | 81 | 82 | 79.02 | Worse than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 149 cases | 93 | 94 | 92.05 | Worse than 55% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 46 cases | 100 | 98 | 97 | The best result, shared by 14% 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 · 64 cases | 92 | 94 | 94.02 | Worse than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,061 cases | 83 | 90 | 81.77 | Worse than 65% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 522 cases | 86 | 97 | 94.61 | Worse than 88% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Holy Cross Health | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3 | 5 | 6.493 | Better than 74% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 1.4 | 6.6 | 7.806 | Better than 99% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Holy Cross Health | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.99 | 0.99 | 0.9996 | Worse than 47% of US hospitals |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Holy Cross Health | 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 · 66 cases | 1.064 | 0.9969 | 1.009 | Worse than 91% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 141 cases | 0.9928 | 0.9983 | 1.013 | Better than 55% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 0 cases | N/A | 1.055 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 65 cases | 0.9971 | 0.9955 | 1.018 | Worse than 51% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.104 | 1.076 | 0.9807 | 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 | 1.134 | 1.112 | 1.113 | 1.054 | 1.07 | 1.064 |
| READM-30-HF-HRRP | 1.114 | 1.1 | 1.099 | 0.9747 | 0.9312 | 0.9928 |
| READM-30-HIP-KNEE-HRRP | 1.019 | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9941 | 1.003 | 1.024 | 1.068 | 1.007 | 0.9971 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Holy Cross Health | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.477 | 0.489 | 0.5958 | Better than 51% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.441 | 0.346 | 0.436 | Worse than 64% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.825 | 0.559 | 0.7638 | Worse than 72% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.5 | 0.6405 | 0.6364 | Better than 63% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.93 | 0.9628 | 0.9883 | Better than 63% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9041 | |||
| Total HAC scoreFY 2026 | -0.0473 | -0.0453 | 0.07842 | Better than 50% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | Yes | N/A | No | No | No |
| Total HAC score | 0.2558 | 0.5828 | 0 | -0.0742 | -0.3019 | -0.0473 |
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.
ACHC (since 2020)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
311
Medicare-certified beds
136
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Holy Cross Health reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
5,014
Inpatient discharges
Medicare 12%, Medicaid 7%
27,040
Inpatient days
48% of available bed days used
500
Employees (full-time equivalent)
2
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844422). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Holy Cross Health reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,246 | 1,991 | 21,803 | 27,040 |
| Discharges | 613 | 346 | 4,055 | 5,014 |
| Average length of stay | 5.3 days | 5.8 days | 5.4 days | 5.4 days |
| Average daily census | 8.9 | 5.5 | 59.7 | 74.1 |
6,058
Medicare Advantage days
1,099 discharges
9,409
Medicaid managed care days
2,002 discharges
1,997
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 133 | 23,947 | 2,974 | 49% |
| Intensive care unit | 20 | 3,093 | 272 | 42% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844422, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Holy Cross Health treats Medicare patients for most often, in 2024. 339 Medicare discharges in 17 published DRGs; 0% surgical; 64% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 58 | $46,839 | $10,468 | $11,429 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 38 | $74,894 | $15,304 | $18,274 | 1.98 |
| PsychosesMS-DRG 885, medical | 37 | $31,641 | $11,526 | $7,720 | 1.37 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $59,223 | $10,729 | $14,450 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 21 | $67,630 | $13,648 | $16,502 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $61,464 | $9,537 | $14,997 | 1.10 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 17 | $20,943 | $7,493 | $5,110 | 0.86 |
| Syncope and collapseMS-DRG 312, medical | 15 | $35,880 | $7,504 | $8,755 | 0.86 |
| Chest painMS-DRG 313, medical | 15 | $33,461 | $6,223 | $8,164 | 0.72 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 15 | $38,810 | $11,497 | $9,470 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $33,680 | $7,043 | $8,218 | 0.78 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $65,804 | $12,168 | $16,056 | 1.23 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $49,819 | $12,012 | $12,156 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 12 | $51,501 | $9,978 | $12,566 | 1.17 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $103,131 | $22,512 | $25,164 | 2.70 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $81,221 | $14,617 | $19,818 | 1.59 |
| Diabetes with CCMS-DRG 638, medical | 11 | $38,375 | $7,840 | $9,363 | 0.90 |
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) Holy Cross Health billed Medicare for most in 2024: 118 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 106 | 93 | $22,904 | $1,990 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 12 | 11 | $15,626 | $2,411 | $2,405 |
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 Holy Cross Health 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 1,941 in 2020 to 1,472 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 60629 | 509 | 35% | 2,834 | $27.6M | 17% | 19% |
| 60636 | 338 | 23% | 1,748 | $17.5M | 21% | 24% |
| 60620 | 156 | 11% | 754 | $7.9M | 4% | 6% |
| 60609 | 122 | 8% | 667 | $6.6M | 7% | 9% |
| 60632 | 101 | 7% | 535 | $5.8M | 6% | 9% |
| 60621 | 71 | 5% | 353 | $3.5M | 5% | 5% |
| 60652 | 33 | 2% | 187 | $1.6M | 2% | 5% |
| 60638 | 27 | 2% | 115 | $1.2M | 1% | 2% |
| 60623 | 22 | 1% | 143 | $947,968 | 1% | 1% |
| 60628 | 17 | 1% | 59 | $798,307 | 0% | 1% |
| 60649 | 16 | 1% | 99 | $713,299 | 1% | 1% |
| 60617 | 13 | 1% | 71 | $637,333 | 0% | 0% |
| 60653 | 13 | 1% | 94 | $860,687 | 1% | |
| 60827 | 12 | 1% | 84 | $304,761 | 1% | |
| 60619 | 11 | 1% | 38 | $395,558 | 0% | 1% |
| 60637 | 11 | 1% | 42 | $411,918 | 1% | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,472 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 Holy Cross Health reported at its latest Medicare certification survey (2020). Counts are people, not full-time equivalents.
6
Operating rooms
3
Endoscopy rooms
1
Cardiac catheterization rooms
34
Rehabilitation unit beds
1
Off-site locations
1
Off-site emergency departments
136
Registered nurses
10
Pharmacists
13
Respiratory therapists
2
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
6
Radiology technicians
1
Nuclear medicine technicians
4
Social workers
335
Other personnel
Source: CMS Provider of Services file.
182 clinicians who bill Medicare list Holy Cross Health 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.
Mohammed Khadir, M.D.
Vascular & Interventional Radiology Physician
NPI 1679862296
See commercial rates for Mohammed Khadir, M.D.Satwant Kingra, MD
Internal Medicine Physician
NPI 1942394499
See commercial rates for Satwant Kingra, MDKrishdeep Khosla, MD
Internal Medicine Physician
NPI 1306899570
See commercial rates for Krishdeep Khosla, MDAziz Ahmed, M.D.
Interventional Cardiology Physician
NPI 1962403998
See commercial rates for Aziz Ahmed, M.D.Stephany Mazur, M.D.
Diagnostic Radiology Physician
NPI 1023544186
See commercial rates for Stephany Mazur, M.D.Nureain Mirza, MD
Critical Care Medicine (Internal Medicine) Physician
NPI 1205876414
See commercial rates for Nureain Mirza, MDSandeep Khosla, M.D.
Interventional Cardiology Physician
NPI 1376544312
See commercial rates for Sandeep Khosla, M.D.Adam Rudd, M.D.
Diagnostic Radiology Physician
NPI 1598144644
See commercial rates for Adam Rudd, M.D.Cornelius Mitchell, M.D.
Family Medicine Physician
NPI 1225065345
See commercial rates for Cornelius Mitchell, M.D.Gopal Lalmalani, MD
Cardiovascular Disease Physician
NPI 1942221981
See commercial rates for Gopal Lalmalani, MDYousry Girgis, MD
Internal Medicine Physician
NPI 1710265970
See commercial rates for Yousry Girgis, MDTeia Atwood, NP-C
Adult Health Nurse Practitioner
NPI 1205165222
See commercial rates for Teia Atwood, NP-CThomas Sullivan, M.D.
Diagnostic Radiology Physician
NPI 1154687549
See commercial rates for Thomas Sullivan, M.D.Rizwan Ahmed, D.O
Diagnostic Radiology Physician
NPI 1821353475
See commercial rates for Rizwan Ahmed, D.OPuneet Grewal, M.D.
Cardiovascular Disease Physician
NPI 1003048745
See commercial rates for Puneet Grewal, M.D.Mairaj Uddin, M.D.M.P.H.
Diagnostic Radiology Physician
NPI 1689037855
See commercial rates for Mairaj Uddin, M.D.M.P.H.Alfred Allen, MD
Internal Medicine Physician
NPI 1144538430
See commercial rates for Alfred Allen, MDSyed Moeed, M.D.
Internal Medicine Physician
NPI 1255371498
See commercial rates for Syed Moeed, M.D.Ashish Mukherjee, M.D., F.A.C.C.
Cardiovascular Disease Physician
NPI 1710997259
See commercial rates for Ashish Mukherjee, M.D., F.A.C.C.Michael Yu, MD
Hospitalist Physician
NPI 1255993291
See commercial rates for Michael Yu, MDMaurice Guzman, M.D.
Family Medicine Physician
NPI 1528057874
See commercial rates for Maurice Guzman, M.D.Mohamed Dahodwala, MD
Cardiovascular Disease Physician
NPI 1043230857
See commercial rates for Mohamed Dahodwala, MDSejal Kalawadia, MD
Nephrology Physician
NPI 1194722108
See commercial rates for Sejal Kalawadia, MDBrennan Barrett, D.O.
Diagnostic Radiology Physician
NPI 1669847307
See commercial rates for Brennan Barrett, D.O.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 Holy Cross Health reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $505.8M | 441.0% |
| Inpatient | $214.2M | 186.7% |
| Outpatient | $291.7M | 254.3% |
| Contractual allowances and discounts | -$391.1M | -341.0% |
| Net patient revenue | $114.7M | 100.0% |
| Operating expenses | -$135.8M | -118.4% |
| Operating income from patient care | -$21.1M | -18.4% |
| Other income | $5.3M | 4.6% |
| Investment income | $395,896 | 0.3% |
| Other | $4.9M | 4.3% |
| Other expenses | -$83,184 | -0.1% |
| Net income | -$15.9M | -13.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $38.1M | 7.5% |
| Medicaid (including managed care) | $210.7M | 41.6% |
| Other payers and self-pay | $257.2M | 50.8% |
| Total charges | $506M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844422, 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 Holy Cross Health's latest cost report.
-18.4%
Operating margin
Operating income from patient care / net patient revenue
-13.3%
Total margin
Net income / net patient revenue plus other income
-7.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.00
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-16.2%
Return on assets
Net income for a year / total assets
-162.7%
Return on equity
Net income for a year / fund balance
1.81
Current ratio
Current assets / current liabilities
1.00
Quick ratio
Cash, temporary investments and net receivables / current liabilities
8 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
47 days
Days in patient receivables
Net patient receivables / daily net patient revenue
50 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.23
Asset turnover
Total revenue for a year / total assets
11.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844422, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Holy Cross Health owned and owed at the end of its reporting period (Jun 2025), across all fund types: $97.9M in total assets and a $9.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.7M | 2.8% |
| Patient receivables, net | $14.9M | 15.2% |
| Inventory | $1.2M | 1.2% |
| Total current assets | $32M | 32.6% |
| Property and equipment, net of depreciation | $62.7M | 64.0% |
| Investments and other assets | $3.3M | 3.3% |
| Total assets | $97.9M | 100.0% |
| Current liabilities | $17.7M | 18.0% |
| Total liabilities | $88.2M | 90.0% |
| Fund balance (net assets) | $9.8M | 10.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844422, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Holy Cross Health provided without full payment, as reported on Worksheet S-10 of its cost report.
$10.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$13.2M
Bad debt
Patient bills written off as uncollectible, at charges
-$15.8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$13.6M
Total unreimbursed and uncompensated care
10.0% 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 844422, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Holy Cross Health's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $67M | $69.6M | $95.8M | $90.4M | $96.9M | $114.7M |
| Operating expenses | $110.7M | $97.7M | $118.1M | $124.9M | $123.4M | $135.8M |
| Operating margin | -65.2% | -40.4% | -23.3% | -38.1% | -27.4% | -18.4% |
| Net income | -$24.1M | $1.1M | -$12.6M | -$20.5M | -$14.2M | -$15.9M |
| Total assets | $140.9M | $144M | $121.2M | $94.2M | $93.6M | $97.9M |
| Discharges | 6,991 | 5,558 | 5,738 | 4,390 | 4,114 | 5,014 |
| Inpatient days | 35,784 | 29,809 | 29,870 | 24,252 | 22,989 | 27,040 |
| Medicare Advantage days | 4,886 | 5,482 | 6,074 | 4,850 | 4,899 | 6,058 |
| Beds | 155 | 155 | 155 | 155 | 153 | 153 |
| Employees (FTE) | 686 | 554 | 497 | 414 | 418 | 500 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844422, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Holy Cross Health 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 | $16.6M | $15.2M | $103.5M | 0.15 | 14,350 |
| Laboratory | $1,033 | $8.9M | $57.4M | 0.16 | 8,700 |
| Drugs charged to patients | $5.6M | $61.3M | 0.09 | 2,250 | |
| Operating room | $3.1M | $5.2M | $27.2M | 0.19 | 15,665 |
| Hch infusion center | $331,479 | $4.9M | $2.2M | 2.21 | |
| Radiology-diagnostic | $1.7M | $4.8M | $28.9M | 0.16 | 13,645 |
| Medical supplies charged to patient | $3.2M | $6.4M | 0.51 | ||
| Respiratory therapy | $1.9M | $3.2M | $20.6M | 0.16 | 1,590 |
| Behavioral health @ casimir | $956,191 | $3.1M | $3.4M | 0.91 | 14,188 |
| Observation beds (non-distinct part | $2.7M | $5.6M | 0.48 | ||
| Clinic | $672,112 | $2.4M | $9.1M | 0.27 | |
| Ct scan | $680,117 | $2M | $61M | 0.03 | 1,020 |
| Electrocardiology | $595,201 | $1.3M | $11.2M | 0.12 | 1,550 |
| Ultra sound | $659,681 | $1.2M | $8.7M | 0.13 | 530 |
| Physical therapy | $287,563 | $906,631 | $1.5M | 0.59 | 4,460 |
| Radioisotope | $403,942 | $900,987 | $11.3M | 0.08 | 1,150 |
| Renal dialysis | $450,625 | $823,982 | $2.9M | 0.29 | |
| Occupational therapy | $177,473 | $480,524 | $1.6M | 0.30 | 1,880 |
| Recovery room | $156,784 | $381,726 | $2.3M | 0.17 | 1,099 |
| Speech pathology | $107,468 | $320,760 | $851,044 | 0.38 | 1,500 |
| Electroencephalography | $67,418 | $299,122 | $342,175 | 0.87 | 1,882 |
| Cardiac catheterization | $57,418 | $252,197 | $422,933 | 0.60 | |
| Impl. dev. charged to patients | $132,767 | $1.2M | 0.11 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $16M | $35.2M | $61.4M | 0.57 | 54,493 |
| Intensive care unit | $3.5M | $7.7M | $15.7M | 0.49 | 12,430 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative and general | $358,814 | $15.7M | 45,936 | ||
| Operation of plant | $1.7M | $9.1M | 41,212 | $40.84 | 14,790 |
| Employee benefits department | $6.8M | 2,180 | |||
| Cap rel costs-bldg & fixt | $4.2M | 265,663 | |||
| Cashiering/accounts receivable | $3.9M | 2,230 | |||
| Cap rel costs-mvble equip | $3.2M | ||||
| Dietary | $2.5M | 9,917 | |||
| Housekeeping | $2.2M | ||||
| Nursing administration | $2M | $2.1M | 70,844 | $27.25 | 1,160 |
| Pharmacy | $2.5M | $793,763 | 44,491 | $55.55 | |
| Social service | $745,929 | ||||
| Laundry & linen service | $688,902 | 16,040 | |||
| Admitting | $625,478 | $633,611 | |||
| Purchasing receiving and stores | $487 | $445,453 | 1,060 | ||
| Nonpatient telephones | $405,092 | $406,194 | 269 | ||
| Central services & supply | $272,280 | $377,003 | 12,400 | $21.96 | 6,030 |
| Medical records & library | $247,279 | 2,330 | |||
| Cafeteria | $230,835 | 7,513 | |||
| I&r services-other prgm costs apprv | $143,200 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844422, 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 Holy Cross Health for an inpatient stay.
1.34
Case mix index
Higher than 13% 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).
56.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
638
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 | 1.40 | 1.41 | 1.49 | 1.44 | 1.43 | 1.39 | 1.34 |
| Wage index | 1.035 | 1.033 | 1.038 | 1.021 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.67% | -0.83% | -0.76% | -0.62% | -0.27% | -0.14% | -0.17% |
| Value-based purchasing adjustment | -0.09% | -0.81% | -0.81% | -0.07% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 2,053 | 2,053 | 1,073 | 912 | 642 | 595 | 638 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Holy Cross Health reports to Medicare as owners or with operational control.
Sinai Health System
Operational/managerial control, 100%, since 2013
Sources: CMS Hospital All Owners.
The officers and board members on Holy Cross Health'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.
Holy Cross Hospital files the Form 990 for the tax ID insurers list for Holy Cross Health, so these people may lead the wider organization rather than Holy Cross Health alone.
| Name | Title |
|---|---|
| Ngozi Ezike MD | President & CEO |
| Russell Fiorella | System Chief Medical Officer |
| Iliana Andrea Mora | Chief Operating Officer |
| Elizabeth Connolly | General Counsel |
| Jason Spigner | Chief Human Resources Officer |
| Kenneth Slawkowski | Chief Information Officer |
| Dimas Ortega | CFO, Interim - Thru 9/2024 |
| Thomasina Wilkins | Senior Vp/chief Revenue Officer - Beg. 07/2024 |
| Paul Goldberg | CFO, Interim 11/2024-06/2025 |
| Alejandra Garza | Director & Vice Chair - Thru 08/2024 |
| Brian Dolan | Director & Chairman |
| Kenneth Avner | Director & Treasurer |
| Leslie Davis | Director & Secretary - Thru 10/2024 |
| Stephen A Morales | Director & Vice Chair - Beg. 08/2024 |
| Vivian Funches | Director & Secretary - Beg. 10/2024 |
Board members: Abraham Morgan, Anne Donnelly, Anthony Del Rio, Avery Hart MD, Bartlett Johnson, Bret Maxwell, David Smith, Emily Doskow, Fr William Grogan, Katya Nuques, Lee Miller, Michael J Hayes, Michael R Davenport MD, Nakisha Hobbs, Onyinyechi Daniel, Robert Markin, Roxanne J Decyk, Vincent Williams, Wilbur Milhouse.
Source: IRS Form 990 Part VII filed by Holy Cross Hospital (EIN 36-2170133), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2005
340B ID DSH140133, registered as a disproportionate share hospital; 76 active contract pharmacies. Authorizing official: Jeensoo Chang, President And Chief Medical Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
About Holy Cross Health's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Holy Cross Health range from $352 to $5,694 across 4 insurers. Cigna's rate is $786. The median at nearby comparable hospitals is $752. 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 Holy Cross Health range from $494 to $3,260 across 4 insurers. Aetna's rate is $773. The median at nearby comparable hospitals is $626. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Holy Cross Health range from $399 to $2,392 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $1,204. The median at nearby comparable hospitals is $1,607. 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 Holy Cross Health range from $5,367 to $11,585 across 3 insurers. Aetna's rate is $8,357. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Holy Cross Health range from $122 to $272 across 4 insurers. Aetna's rate is $122. The median at nearby comparable hospitals is $128. 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 Holy Cross Health range from $15,398 to $33,158 across 4 insurers. UnitedHealthcare's rate is $19,288. The median at nearby comparable hospitals is $22,781. What a patient pays depends on their plan's deductible, coinsurance and network status.
Holy Cross Health 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 Holy Cross Health for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Holy Cross Health's base inpatient payments by an estimated 0.17% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were heart failure and shock with mcc (58 discharges), septicemia or severe sepsis without mv >96 hours with mcc (38 discharges), psychoses (37 discharges).
Holy Cross Health's Medicare case mix index is 1.34 for fiscal year 2027, higher than 13% of hospitals paid under the inpatient prospective payment system.
Holy Cross Health reported 5,014 inpatient discharges and 27,040 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Holy Cross Health reported 500 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Holy Cross Health reported $114.7M in net patient revenue on $505.8M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -18.4%, and net income of -$15.9M.
Holy Cross Health reported $13.6M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $10.7M of charity care at cost.
Insurers' price transparency files list Holy Cross Health under employer identification number 36-2170133 (Holy Cross Hospital). 49 health plans and networks list 36-2170133 for it.
Yes. HRSA's 340B database lists Holy Cross Health (340B ID DSH140133) as a participating disproportionate share hospital since 2005, with 76 active contract pharmacies.
182 clinicians who bill Medicare list Holy Cross Health as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are emergency medicine physician (26), internal medicine physician (25), diagnostic radiology physician (16).
Yes. CMS's Provider of Services file lists ACHC as the accrediting organization for Holy Cross Health, effective 2020.
In its Medicare enrollment, Holy Cross Health reports Sinai Health System as Operational/managerial control (100%).
CMS lists 35 services at Holy Cross Health, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Holy Cross Health came from ZIP codes 60629 (509), 60636 (338), 60620 (156).
Holy Cross Health has 153 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 311 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Holy Cross Health is located at 2701 West 68th Street, Chicago, IL 60629. Its main phone number is (773) 884-9000.
Holy Cross Health's CMS Certification Number (CCN), also called its Medicare provider number, is 140133.
The National Provider Identifier (NPI) on file for Holy Cross Health is 1962425611.
Holy Cross Health is affiliated with Sinai Health System.
Holy Cross Health lists 44 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.
408 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