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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Memorial Hospital Of Carbondale

Southern Illinois Healthcare · Carbondale, IL

405 West Jackson Street, Carbondale, IL 62901(618) 549-0721

1 of 5

CMS star rating

175

Beds

10,900

Inpatient discharges a year

$461.4M

Net patient revenue a year

27

In-network payers

Photo 1: Mahir256, CC BY-SA 3.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Memorial Hospital Of Carbondale is a 175-bed voluntary non-profit - private hospital in Carbondale, IL, affiliated with Southern Illinois Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 147 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
140164
NPI
1093801797
Website
sih.net
Health system
Southern Illinois Healthcare
Teaching
Teaching hospital
County
Jackson County
Metro area
Carbondale, IL MicroSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2013

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Multianalyte Assay

Range: 0002M - 0018M

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    1 of 5 stars

    • 161 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.48%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 39 services
    • 597 affiliated clinicians
    See doctors and services
  • Finances

    $461.4M net patient revenue

    • Operating margin on patient care 27.1%
    • $9.9M unreimbursed and uncompensated care
    • $98.6M net income
    See finances
  • Ownership and leadership

    Owned by Southern Illinois Healthcare Enterprises Inc

    • Private (not for profit)
    • 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 Of Carbondale in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
37-0618939Herrin Hospital58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 53 more1093801797 Southern Illinois Hospital Services1528158573 Southern Illinois Hospital Services1356435135 Southern Illinois Hospital Servicesand 13 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

405 West Jackson Street, Carbondale, IL 62901

(618) 549-0721

Get directions

Frequently asked questions

About Memorial Hospital Of Carbondale's rates and hospital price transparency.

What is Memorial Hospital Of Carbondale's CMS star rating?

Memorial Hospital Of Carbondale has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Memorial Hospital Of Carbondale a teaching hospital?

Yes. CMS counts 0.05 Medicare-funded residents per bed at Memorial Hospital Of Carbondale for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Memorial Hospital Of Carbondale for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Memorial Hospital Of Carbondale's base inpatient payments by an estimated 0.48% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (201 discharges), heart failure and shock with mcc (146 discharges), pulmonary edema and respiratory failure (79 discharges).

What is Memorial Hospital Of Carbondale's case mix index?

Memorial Hospital Of Carbondale's Medicare case mix index is 1.87 for fiscal year 2027, higher than 68% of hospitals paid under the inpatient prospective payment system.

How many patients does Memorial Hospital Of Carbondale admit?

Memorial Hospital Of Carbondale reported 10,900 inpatient discharges and 45,425 inpatient days from Apr 1, 2025 to Mar 31, 2026.

How many employees does Memorial Hospital Of Carbondale have?

Memorial Hospital Of Carbondale reported 1,067 full-time-equivalent employees on payroll from Apr 1, 2025 to Mar 31, 2026.

How much revenue does Memorial Hospital Of Carbondale make?

Memorial Hospital Of Carbondale reported $461.4M in net patient revenue on $1.6B of gross charges for Apr 1, 2025 to Mar 31, 2026, an operating margin of 27.1%, and net income of $98.6M.

How much charity and uncompensated care does Memorial Hospital Of Carbondale provide?

Memorial Hospital Of Carbondale reported $9.9M of unreimbursed and uncompensated care for Apr 1, 2025 to Mar 31, 2026, including $5.7M of charity care at cost.

What is Memorial Hospital Of Carbondale's tax ID (EIN)?

Insurers' price transparency files list Memorial Hospital Of Carbondale under employer identification number 37-0618939 (Herrin Hospital). 58 health plans and networks list 37-0618939 for it.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • 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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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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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