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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Hshs St. John S Hospital

Hospital Sisters Health System · Springfield, IL

800 East Carpenter Street, Springfield, IL 62769(217) 544-6464

2 of 5

CMS star rating

442

Beds

18,669

Inpatient discharges a year

$678M

Net patient revenue a year

38

In-network payers

About this hospital

Hshs St. John S Hospital is a 442-bed voluntary non-profit - church hospital in Springfield, IL, affiliated with Hospital Sisters Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 464 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
140053
NPI
1205818481
Website
hshs.org
Health system
Hospital Sisters Health System
Teaching
Teaching hospital
County
Sangamon County
Metro area
Springfield, IL MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2022

Prices for common services

The 24 services Hshs St. John S Hospital 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

Vaginal delivery, hospital stay

MS-DRG 807

$8,715 - $12,237

from 4 insurers · median $10,438

BCBS Illinois$8,715
Insurer A*$10,423
Insurer B*$10,453
Insurer C*$12,237

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

Cesarean delivery, hospital stay

MS-DRG 788

$12,400 - $17,402

from 4 insurers · median $13,904

BCBS Illinois$12,400
Insurer A*$13,664
Insurer B*$14,144
Insurer C*$17,402

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$214 - $6,047

from 4 insurers · median $1,540

Cigna$214
Insurer A*$489
Insurer B*$2,590
Insurer C*$6,047
Medicare $342Nearby hospitals $84981% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$59,194 - $60,226

from 2 insurers · median $59,710

Aetna$60,226
Insurer A*$59,194
Medicare $24,254Nearby hospitals $47,93725% above nearby hospitals

25 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Hshs St. John S Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
1174%
150
Insurer B*18
827%
113
Insurer C*18
206%
114
Insurer D*24
138%
117

How we chose these services: 3 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hshs St. John S Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    2 of 5 stars

    • 160 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

    • Teaching hospital
    • 30 services, including trauma care
    • 937 affiliated clinicians
    See doctors and services

  • Finances

    $678M net patient revenue

    • Operating margin on patient care -2.3%
    • $17.5M unreimbursed and uncompensated care
    • $9.5M net income
    See finances

  • Ownership and leadership

    Owned by Hospital Sisters Services Inc

    • Church
    • Brian Brennan, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Hshs St. John S Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
37-0661238St Johns Hospital59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1205818481 St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F1184606923 St Johns Hospital Of The Hospital Sisters Of The Third Order Of St F1083883615 St Johns Hospital Of The Hospital Sisters Of The Third Order Of St Fand 17 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

800 East Carpenter Street, Springfield, IL 62769

(217) 544-6464

Get directions

Frequently asked questions

About Hshs St. John S Hospital's rates and hospital price transparency.

How much does an MRI cost at Hshs St. John S Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hshs St. John S Hospital range from $492 to $6,050 across 4 insurers. Aetna's rate is $492. The median at nearby comparable hospitals is $1,165. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Hshs St. John S Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hshs St. John S Hospital range from $214 to $6,047 across 4 insurers. Cigna's rate is $214. The median at nearby comparable hospitals is $849. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Hshs St. John S Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Hshs St. John S Hospital range from $6,708 to $6,708 across 1 insurers. Aetna's rate is $6,708. The median at nearby comparable hospitals is $1,003. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Hshs St. John S Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hshs St. John S Hospital range from $8,715 to $12,237 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $8,715. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Hshs St. John S Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hshs St. John S Hospital range from $129 to $935 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $935. The median at nearby comparable hospitals is $177. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Hshs St. John S Hospital's CMS star rating?

Hshs St. John S Hospital 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 Hshs St. John S Hospital a teaching hospital?

Yes. CMS counts 0.17 Medicare-funded residents per bed at Hshs St. John S Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Hshs St. John S Hospital for readmissions?

No. Hshs St. John S Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Hshs St. John S Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (316 discharges), heart failure and shock with mcc (279 discharges), simple pneumonia and pleurisy with mcc (115 discharges).

What is Hshs St. John S Hospital's case mix index?

Hshs St. John S Hospital's Medicare case mix index is 2.07 for fiscal year 2027, higher than 82% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

Compliance MRF

Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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