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Short Term Acute Care HospitalProprietary

Macneal Hospital

Trinity Health · Berwyn, IL

3249 South Oak Park Avenue, Berwyn, IL 60402(708) 783-9100

3 of 5

CMS star rating

284

Beds

9,148

Inpatient discharges a year

$433.6M

Net patient revenue a year

36

In-network payers

Photo 1: TheHopefulInformationalist, CC0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Macneal Hospital is a 284-bed proprietary hospital in Berwyn, IL, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 301 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
140054
NPI
1295710580
Health system
Trinity Health
Teaching
Major 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
2009

Prices for common services

The 24 services Macneal 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

$7,966 - $10,378

from 4 insurers · median $8,244

UnitedHealthcare$7,966
Insurer A*$8,207
Insurer B*$8,282
Insurer C*$10,378

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

$11,014 - $12,437

from 4 insurers · median $11,559

UnitedHealthcare$11,014
Insurer A*$11,339
Insurer B*$11,778
Insurer C*$12,437

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

$505 - $1,170

from 4 insurers · median $1,103

BCBS Illinois$505
Insurer A*$1,049
Insurer B*$1,156
Insurer C*$1,170
Medicare $357Nearby hospitals $58289% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$151 - $1,170

from 4 insurers · median $1,103

BCBS Illinois$151
Insurer A*$1,049
Insurer B*$1,156
Insurer C*$1,170
Medicare $107Nearby hospitals $363204% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Macneal 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
404%
141
Insurer B*24
369%
154
Insurer C*24
213%
170
Insurer D*23
142%
910

How we chose these services: 2 appear in this hospital's own Medicare claims, 14 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 Macneal 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 HealthCenteneEMI Health

More about this hospital

  • Quality

    3 of 5 stars

    • 211 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.50%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 40 services, including trauma care
    • 485 affiliated clinicians
    See doctors and services
  • Finances

    $433.6M net patient revenue

    • Operating margin on patient care 29.6%
    • $27.1M unreimbursed and uncompensated care
    • $137.9M net income
    See finances
  • Ownership and leadership

    Owned by Loyola University Health System

    • Private (for profit)
    • Pierre Monice, 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 Macneal 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
36-3332852MacNeal Hospital55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1295710580 Gottlieb Community Health Services Corporation1700864352 Gottlieb Community Health Services Corporation1871977751 Gottlieb Community Health Services Corporationand 11 more
62-1796152Vhs Of Illinois10Cigna, Asuris Northwest Health, BCBS, Group Health Cooperative of South Central Wisconsin, Kaiser Permanente and 5 more1124006705 Vhs Of Illinois Inc1295710580 Gottlieb Community Health Services Corporation1235117888 Gottlieb Community Health Services Corporationand 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

3249 South Oak Park Avenue, Berwyn, IL 60402

(708) 783-9100

Get directions

Frequently asked questions

About Macneal Hospital's rates and hospital price transparency.

How much does an MRI cost at Macneal Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Macneal Hospital range from $505 to $2,105 across 4 insurers. Cigna's rate is $2,105. The median at nearby comparable hospitals is $667. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Macneal Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Macneal Hospital range from $505 to $1,170 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $505. The median at nearby comparable hospitals is $582. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Macneal Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Macneal Hospital range from $1,552 to $4,513 across 4 insurers. Aetna's rate is $4,513. The median at nearby comparable hospitals is $1,696. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Macneal Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Macneal Hospital range from $7,966 to $10,378 across 4 insurers. UnitedHealthcare's rate is $7,966. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Macneal Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Macneal Hospital range from $124 to $258 across 4 insurers. UnitedHealthcare's rate is $187. The median at nearby comparable hospitals is $185. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Macneal Hospital's CMS star rating?

Macneal Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Macneal Hospital a teaching hospital?

Yes. CMS counts 0.38 Medicare-funded residents per bed at Macneal Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Macneal Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Macneal Hospital's base inpatient payments by an estimated 0.50% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were heart failure and shock with mcc (89 discharges), psychoses (88 discharges), septicemia or severe sepsis without mv >96 hours with mcc (87 discharges).

What is Macneal Hospital's case mix index?

Macneal Hospital's Medicare case mix index is 1.60 for fiscal year 2027, higher than 40% 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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  • 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.

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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
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