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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Loretto Hospital

Chicago, IL

645 South Central Avenue, Chicago, IL 60644(773) 626-4300

Not rated by CMS

CMS star rating

122

Beds

2,624

Inpatient discharges a year

$43.8M

Net patient revenue a year

28

In-network payers

About this hospital

Loretto Hospital is a 122-bed voluntary non-profit - other hospital in Chicago, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 327 disclosed rate categories.

  • Disproportionate share hospital
CCN
140083
NPI
1447280284
Website
lorettohospital.org
Teaching
Teaching hospital
County
Cook County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2018

Prices for common services

The 24 services Loretto 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.

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$24,348 - $25,959

from 2 insurers · median $25,154

BCBS Illinois$25,959
Insurer A*$24,348
Medicare $16,162Nearby hospitals $25,961In line with nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$19,738 - $20,339

from 2 insurers · median $20,038

BCBS Illinois$20,339
Insurer A*$19,738
Medicare $12,855Nearby hospitals $21,5457% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Uterine and adnexa procedure for non-malignancy without CC or MCC

MS-DRG 743

$12,495 - $16,939

from 3 insurers · median $13,605

BCBS Illinois$12,495
Insurer A*$13,605
Insurer B*$16,939
Medicare $8,362Nearby hospitals $12,7117% above nearby hospitals

Hospital reports inpatient surgical services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$37,939

negotiated rate

BCBS Illinois$37,939
Medicare $27,950Nearby hospitals $36,126In line with nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Loretto 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*19
224%
126
Insurer B*24
126%
1012
Insurer C*21
99%
318
Insurer D*16
65%
214

How we chose these services: 1 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 6 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 Loretto 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)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    Not rated by CMS

    • 228 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.01%)
    See quality ratings

  • Doctors and services

    Accredited by ACHC

    • Teaching hospital
    • 32 services
    • 65 affiliated clinicians
    See doctors and services

  • Finances

    $43.8M net patient revenue

    • Operating margin on patient care -73.9%
    • $1.6M unreimbursed and uncompensated care
    • $568,829 net income
    See finances

  • Ownership and leadership

    Other

    • Tesa R Anewishki, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Loretto 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
36-2200248Loretto Hospital46Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 41 more1447280284 Loretto Hospital1306318753 Loretto Hospital1831364132 Loretto Hospitaland 5 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

645 South Central Avenue, Chicago, IL 60644

(773) 626-4300

Get directions

Frequently asked questions

About Loretto Hospital's rates and hospital price transparency.

How much does an MRI cost at Loretto Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Loretto Hospital range from $170 to $445 across 4 insurers. Aetna's rate is $170. The median at nearby comparable hospitals is $719. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Loretto Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Loretto Hospital range from $222 to $365 across 4 insurers. Aetna's rate is $222. The median at nearby comparable hospitals is $630. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Loretto Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Loretto Hospital range from $600 to $2,865 across 4 insurers. UnitedHealthcare's rate is $600. The median at nearby comparable hospitals is $1,945. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Loretto Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Loretto Hospital range from $54 to $99 across 4 insurers. UnitedHealthcare's rate is $93. The median at nearby comparable hospitals is $176. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Loretto Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Loretto Hospital range from $19,738 to $20,339 across 2 insurers. Blue Cross Blue Shield of Illinois's rate is $20,339. The median at nearby comparable hospitals is $21,545. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Loretto Hospital a teaching hospital?

Yes. CMS counts 0.07 Medicare-funded residents per bed at Loretto Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Loretto Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Loretto Hospital's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Loretto Hospital?

In 2024, the most common were psychoses (143 discharges).

What is Loretto Hospital's case mix index?

Loretto Hospital's Medicare case mix index is 1.33 for fiscal year 2027, higher than 12% of hospitals paid under the inpatient prospective payment system.

How many patients does Loretto Hospital admit?

Loretto Hospital reported 2,624 inpatient discharges and 16,992 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.

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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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • 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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • 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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