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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Mcdonough District Hospital

Macomb, IL

525 East Grant Street, Macomb, IL 61455(309) 833-4101

3 of 5

CMS star rating

45

Beds

1,047

Inpatient discharges a year

$83.9M

Net patient revenue a year

15

In-network payers

About this hospital

Mcdonough District Hospital is a 45-bed government - hospital district or authority hospital in Macomb, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 15 in-network payers and 135 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
140089
NPI
1669420766
Website
mdh.org
Teaching
No Medicare-funded residents
County
McDonough County
Metro area
Macomb, IL MicroSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
1996

Prices for common services

The 24 services Mcdonough District 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$5,596 - $6,583

from 3 insurers · median $5,925

Aetna$5,596
Insurer A*$5,925
Insurer B*$6,583
Medicare $370Nearby hospitals $1,072453% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$3,800 - $6,742

from 3 insurers · median $6,742

Aetna$6,742
Insurer A*$3,800
Insurer B*$6,742

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

$3,800 - $9,588

from 3 insurers · median $9,588

Aetna$9,588
Insurer A*$3,800
Insurer B*$9,588

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 of the abdomen and pelvis, without contrast

CPT 74176

$3,414 - $4,017

from 3 insurers · median $3,615

Aetna$3,414
Insurer A*$3,615
Insurer B*$4,017
Medicare $253Nearby hospitals $729396% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Mcdonough District 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
1072%
191
Insurer B*23
965%
200
Insurer C*24
827%
201

How we chose these services: 1 appear in this hospital's own Medicare claims, 20 are common here based on CMS Medicare volume, and 3 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 Mcdonough District 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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansBanner HealthGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)Health AllianceHealth Link

More about this hospital

  • Quality

    3 of 5 stars

    • 145 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.77%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 24 services
    • 205 affiliated clinicians
    See doctors and services
  • Finances

    $83.9M net patient revenue

    • Operating margin on patient care -11.5%
    • $13.8M unreimbursed and uncompensated care
    • -$6.4M net income
    See finances
  • Ownership and leadership

    Owned by Mcdonough County Hospital District

    • Hospital district or authority
    • William R Murdock, 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 Mcdonough District 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
37-6016777McDonough County District Hospital33Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 28 more1669420766 Mcdonough County Hospital District1013048982 Mcdonough County Hospital District1164470191 Mcdonough County Hospital Districtand 28 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

525 East Grant Street, Macomb, IL 61455

(309) 833-4101

Get directions

Frequently asked questions

About Mcdonough District Hospital's rates and hospital price transparency.

How much does an MRI cost at Mcdonough District Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mcdonough District Hospital range from $5,596 to $6,583 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $6,583. The median at nearby comparable hospitals is $1,578. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mcdonough District Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mcdonough District Hospital range from $5,596 to $6,583 across 3 insurers. Aetna's rate is $5,596. The median at nearby comparable hospitals is $1,072. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Mcdonough District Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mcdonough District Hospital range from $3,017 to $5,833 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $5,833. The median at nearby comparable hospitals is $2,625. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mcdonough District Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mcdonough District Hospital range from $3,800 to $6,742 across 3 insurers. Aetna's rate is $6,742. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mcdonough District Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mcdonough District Hospital range from $441 to $467 across 3 insurers. UnitedHealthcare's rate is $441. The median at nearby comparable hospitals is $128. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mcdonough District Hospital's CMS star rating?

Mcdonough District 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 Mcdonough District Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mcdonough District Hospital for fiscal year 2027.

Does Medicare penalize Mcdonough District Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mcdonough District Hospital's base inpatient payments by an estimated 1.77% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mcdonough District Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (56 discharges), simple pneumonia and pleurisy with mcc (33 discharges), heart failure and shock with mcc (21 discharges).

What is Mcdonough District Hospital's case mix index?

Mcdonough District Hospital's Medicare case mix index is 1.34 for fiscal year 2027, higher than 13% 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.

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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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  • cms-hpt.txt file and homepage footer link
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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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