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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Memorial Hospital Belleville

BJC Healthcare · Belleville, IL

4500 Memorial Drive, Belleville, IL 62226(618) 233-7750

5 of 5

CMS star rating

300

Beds

19,094

Inpatient discharges a year

$579.2M

Net patient revenue a year

32

In-network payers

About this hospital

Memorial Hospital Belleville is a 300-bed voluntary non-profit - private hospital in Belleville, IL, affiliated with BJC Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 470 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
140185
NPI
1982796181
Website
bjc.org
Health system
BJC Healthcare
Teaching
No Medicare-funded residents
County
St. Clair 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 Memorial Hospital Belleville 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

$7,121 - $8,391

from 2 insurers · median $7,756

UnitedHealthcare$8,391
Insurer A*$7,121

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,717 - $7,366

from 4 insurers · median $6,842

Cigna$7,366
Insurer A*$4,717
Insurer B*$6,609
Insurer C*$7,074
Medicare $3,139Nearby hospitals $3,54993% above nearby hospitals

37 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$11,014 - $12,302

from 2 insurers · median $11,658

UnitedHealthcare$11,014
Insurer A*$12,302

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$18,710 - $32,825

from 4 insurers · median $27,342

Aetna$26,557
Insurer A*$18,710
Insurer B*$28,127
Insurer C*$32,825
Medicare $10,337Nearby hospitals $20,58333% above nearby hospitals

68 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Memorial Hospital Belleville

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*24
285%
201
Insurer B*21
257%
92
Insurer C*14
209%
113
Insurer D*24
84%
812

How we chose these services: 8 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 7 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 Memorial Hospital Belleville, 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)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    5 of 5 stars

    • 195 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.35%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 40 services
    • 1,162 affiliated clinicians
    See doctors and services
  • Finances

    $579.2M net patient revenue

    • Operating margin on patient care 1.5%
    • $17.8M unreimbursed and uncompensated care
    • $7.1M net income
    See finances
  • Ownership and leadership

    Owned by BJC Health System

    • Private (not for profit)
    • Michele Mckee, 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 Memorial Hospital Belleville in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
37-0635502Protestant Memorial Medical Center INC58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1982796181 Protestant Memorial Medical Center Inc.1023494473 Metro-east Services Inc.1477633766 Protestant Memorial Medical Centerincand 4 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

4500 Memorial Drive, Belleville, IL 62226

(618) 233-7750

Get directions

Frequently asked questions

About Memorial Hospital Belleville's rates and hospital price transparency.

How much does a CT scan cost at Memorial Hospital Belleville?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Memorial Hospital Belleville range from $288 to $1,033 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $498. The median at nearby comparable hospitals is $624. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Memorial Hospital Belleville?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Memorial Hospital Belleville range from $1,021 to $5,685 across 4 insurers. Cigna's rate is $2,621. The median at nearby comparable hospitals is $1,693. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Memorial Hospital Belleville?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Memorial Hospital Belleville range from $7,121 to $8,391 across 2 insurers. UnitedHealthcare's rate is $8,391. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Memorial Hospital Belleville?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Hospital Belleville range from $85 to $317 across 4 insurers. Aetna's rate is $296. The median at nearby comparable hospitals is $150. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Memorial Hospital Belleville?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Memorial Hospital Belleville range from $18,710 to $32,825 across 4 insurers. Aetna's rate is $26,557. The median at nearby comparable hospitals is $20,583. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Memorial Hospital Belleville's CMS star rating?

Memorial Hospital Belleville has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is Memorial Hospital Belleville a teaching hospital?

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

Does Medicare penalize Memorial Hospital Belleville for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Memorial Hospital Belleville's base inpatient payments by an estimated 0.35% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Memorial Hospital Belleville?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (399 discharges), heart failure and shock with mcc (250 discharges), simple pneumonia and pleurisy with mcc (114 discharges).

What is Memorial Hospital Belleville's case mix index?

Memorial Hospital Belleville'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.

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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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