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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Hshs St. Joseph S Hospital

Hospital Sisters Health System · Breese, IL

9515 Holy Cross Lane, Breese, IL 62230(618) 526-4511

4 of 5

CMS star rating

36

Beds

1,800

Inpatient discharges a year

$77.1M

Net patient revenue a year

32

In-network payers

About this hospital

Hshs St. Joseph S Hospital is a 36-bed voluntary non-profit - church hospital in Breese, IL, affiliated with Hospital Sisters Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 341 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
140145
NPI
1457319154
Website
hshs.org
Health system
Hospital Sisters Health System
Teaching
No Medicare-funded residents
County
Clinton County
Metro area
St. Louis, MO-IL MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2016

Prices for common services

The 24 services Hshs St. Joseph 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

$6,351 - $8,279

from 2 insurers · median $7,315

UnitedHealthcare$6,351
Insurer A*$8,279

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

$8,437 - $12,400

from 2 insurers · median $10,418

UnitedHealthcare$8,437
Insurer A*$12,400

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

$374 - $4,989

from 4 insurers · median $1,436

Aetna$582
Insurer A*$374
Insurer B*$2,290
Insurer C*$4,989
Medicare $339Nearby hospitals $2,48242% below nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$6,351 - $8,279

from 2 insurers · median $7,315

UnitedHealthcare$6,351
Insurer A*$8,279

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

How the insurers pay at Hshs St. Joseph 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*23
1275%
191
Insurer B*19
824%
126
Insurer C*20
160%
910
Insurer D*23
105%
317

How we chose these services: 1 appear in this hospital's own Medicare claims, 19 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. Joseph 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

    4 of 5 stars

    • 132 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.07%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 19 services
    • 322 affiliated clinicians
    See doctors and services
  • Finances

    $77.1M net patient revenue

    • Operating margin on patient care 21.4%
    • $3.4M unreimbursed and uncompensated care
    • $27.2M net income
    See finances
  • Ownership and leadership

    Owned by Hospital Sisters Services Inc

    • Church
    • Amanda Ennen, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Hshs St. Joseph 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
37-1208459St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1457319154 St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde1013002658 St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde1710375977 St Josephs Hospital Breese Of The Hospital Sisters Of The Third Ordeand 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

9515 Holy Cross Lane, Breese, IL 62230

(618) 526-4511

Get directions

Frequently asked questions

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

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

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hshs St. Joseph S Hospital range from $374 to $4,978 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $374. The median at nearby comparable hospitals is $1,769. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hshs St. Joseph S Hospital range from $374 to $4,989 across 4 insurers. Aetna's rate is $582. The median at nearby comparable hospitals is $2,482. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Hshs St. Joseph S Hospital range from $6,351 to $8,279 across 2 insurers. UnitedHealthcare's rate is $6,351. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hshs St. Joseph S Hospital range from $84 to $359 across 4 insurers. UnitedHealthcare's rate is $359. The median at nearby comparable hospitals is $228. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

Hshs St. Joseph S Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Hshs St. Joseph S Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Hshs St. Joseph S Hospital for fiscal year 2027.

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

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Hshs St. Joseph S Hospital's base inpatient payments by an estimated 0.07% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (53 discharges), simple pneumonia and pleurisy with mcc (28 discharges), heart failure and shock with mcc (27 discharges).

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

Hshs St. Joseph S Hospital's Medicare case mix index is 1.41 for fiscal year 2027, higher than 18% of hospitals paid under the inpatient prospective payment system.

How many patients does Hshs St. Joseph S Hospital admit?

Hshs St. Joseph S Hospital reported 1,800 inpatient discharges and 5,530 inpatient days from Jul 1, 2024 to Jun 30, 2025.

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.

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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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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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