BJC Healthcare · Shiloh, IL
94
Beds
5,688
Inpatient discharges a year
$92.2M
Net patient revenue a year
15
In-network payers
Memorial Hospital Shiloh is a 94-bed voluntary non-profit - private hospital in Shiloh, IL, affiliated with BJC Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 15 in-network payers and 65 disclosed rate categories.
The 24 services Memorial Hospital Shiloh 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.
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Childbirth · Inpatient
MS-DRG 807
$7,121 - $8,240
from 2 insurers · median $7,681
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
MS-DRG 788
$10,817 - $12,302
from 2 insurers · median $11,559
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
Cardiology and vascular testing
CPT 93306
$1,480 - $5,890
from 4 insurers · median $4,407
Typical for a hospital with this service line
CT imaging
CPT 74177
$298 - $916
from 4 insurers · median $707
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$7,121 - $8,240
from 2 insurers · median $7,681
CMS lists this service as CPT 59610, 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
Digestive procedures
CPT 43239
$782 - $3,983
from 4 insurers · median $2,016
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$262 - $6,025
from 4 insurers · median $5,316
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,021 - $3,983
from 4 insurers · median $2,016
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,021 - $5,493
from 4 insurers · median $2,119
Typical for a hospital with this service line
Mammography
CPT 77067
$84 - $317
from 4 insurers · median $231
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,127 - $9,985
from 3 insurers · median $9,500
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,969 - $5,685
from 3 insurers · median $5,114
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 473
$18,224 - $46,142
from 4 insurers · median $30,895
Hospital reports orthopedic surgery services to CMS
Gynecology
CPT 58571
$7,009 - $9,388
from 2 insurers · median $8,198
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$793 - $3,983
from 4 insurers · median $2,092
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 460
$21,390 - $64,611
from 3 insurers · median $23,923
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 70450
$89 - $916
from 4 insurers · median $190
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$15,894 - $32,825
from 4 insurers · median $21,310
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93971
$318 - $1,124
from 4 insurers · median $772
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,717 - $7,041
from 4 insurers · median $6,289
Typical for a hospital with this service line
CT imaging
CPT 71275
$150 - $916
from 4 insurers · median $490
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$1,324 - $5,359
from 3 insurers · median $4,720
Typical for a hospital with this service line
CT imaging
CPT 74176
$204 - $916
from 4 insurers · median $360
Typical for a hospital with this service line
Gynecology
CPT 58661
$5,157 - $11,477
from 3 insurers · median $8,524
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 290% | 20 | 1 |
| Insurer B* | 20 | 257% | 3 | 7 |
| Insurer C* | 15 | 200% | 11 | 4 |
| Insurer D* | 24 | 84% | 4 | 16 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Shiloh, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Doctors and services
28 services
See doctors and servicesFinances
$92.2M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Memorial Hospital Shiloh in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 37-0635502Protestant Memorial Medical Center INC | 15Asuris Northwest Health, BCBS, BridgeSpan, Centene, Hawaii Western Management Group and 10 more | 1982796181 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.
1404 Cross Street, Shiloh, IL 62269
(618) 607-1000
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Memorial Hospital Shiloh reported to Medicare in its latest cost report, covering Jan 1, 2020 to Dec 31, 2020.
5,688
Inpatient discharges
Medicare 17%, Medicaid 6%
16,748
Inpatient days
49% of available bed days used
541
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 763682). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Memorial Hospital Shiloh reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,262 | 828 | 11,658 | 16,748 |
| Discharges | 993 | 353 | 4,342 | 5,688 |
| Average length of stay | 4.3 days | 2.3 days | 2.7 days | 2.9 days |
| Average daily census | 11.6 | 2.3 | 31.9 | 45.8 |
2,284
Medicare Advantage days
572 discharges
5,099
Medicaid managed care days
2,279 discharges
737
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 88 | 11,917 | 3,922 | 37% |
| Intensive care unit | 6 | 852 | 340 | 39% |
| Nursery | 3,979 |
Source: CMS cost report (HCRIS, Form 2552-10), report 763682, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Revenue, expenses and income Memorial Hospital Shiloh reported to Medicare for Jan 1, 2020 to Dec 31, 2020. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $434.2M | 471.2% |
| Inpatient | $143.9M | 156.2% |
| Outpatient | $290.3M | 315.0% |
| Contractual allowances and discounts | -$342.1M | -371.2% |
| Net patient revenue | $92.2M | 100.0% |
| Operating expenses | -$99.4M | -107.8% |
| Operating income from patient care | -$7.2M | -7.8% |
| Other income | $3.3M | 3.6% |
| Contributions and donations | $84,836 | 0.1% |
| COVID-19 relief funding | $2M | 2.2% |
| Other | $1.2M | 1.3% |
| Other expenses | -$7.9M | -8.5% |
| Net income | -$11.8M | -12.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $93M | 21.5% |
| Medicaid (including managed care) | $69.9M | 16.1% |
| Other payers and self-pay | $270.5M | 62.4% |
| Total charges | $433.3M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 763682, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Memorial Hospital Shiloh's latest cost report.
-7.8%
Operating margin
Operating income from patient care / net patient revenue
-12.4%
Total margin
Net income / net patient revenue plus other income
3.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
43% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$34.10
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-7.9%
Return on assets
Net income for a year / total assets
-9.1%
Return on equity
Net income for a year / fund balance
0.79
Current ratio
Current assets / current liabilities
0.66
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
49 days
Days in patient receivables
Net patient receivables / daily net patient revenue
81 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.64
Asset turnover
Total revenue for a year / total assets
4.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 763682, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Memorial Hospital Shiloh owned and owed at the end of its reporting period (Dec 2020), across all fund types: $149.7M in total assets and a $129.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2,300 | 0.0% |
| Patient receivables, net | $12.4M | 8.3% |
| Inventory | $1.1M | 0.7% |
| Total current assets | $14.8M | 9.9% |
| Property and equipment, net of depreciation | $134.1M | 89.5% |
| Investments and other assets | $892,819 | 0.6% |
| Total assets | $149.7M | 100.0% |
| Current liabilities | $18.8M | 12.6% |
| Total liabilities | $20.6M | 13.8% |
| Fund balance (net assets) | $129.1M | 86.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 763682, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Memorial Hospital Shiloh provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$5.6M
Bad debt
Patient bills written off as uncollectible, at charges
$4.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$6.3M
Total unreimbursed and uncompensated care
6.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 763682, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Memorial Hospital Shiloh's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2019 | Dec 2020 |
|---|---|---|
| Net patient revenue | $76.8M | $92.2M |
| Operating expenses | $89.1M | $99.4M |
| Operating margin | -16.0% | -7.8% |
| Net income | -$15.4M | -$11.8M |
| Total assets | $154M | $149.7M |
| Discharges | 5,235 | 5,688 |
| Inpatient days | 16,713 | 16,748 |
| Medicare Advantage days | 2,262 | 2,284 |
| Beds | 94 | 94 |
| Employees (FTE) | 532 | 541 |
Source: CMS cost report (HCRIS, Form 2552-10), report 763682, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Memorial Hospital Shiloh reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Radiology-diagnostic | $4.4M | $14.1M | $110.2M | 0.13 | 11,944 |
| Emergency | $3.7M | $8.3M | $36.6M | 0.23 | 8,631 |
| Operating room | $2.8M | $8M | $39M | 0.20 | 17,833 |
| Laboratory | $1.6M | $7.3M | $67.8M | 0.11 | 2,435 |
| Drugs charged to patients | $5.8M | $23.8M | 0.24 | ||
| Medical supplies charged to patient | $4.9M | $5.4M | 0.91 | ||
| Impl. dev. charged to patients | $4.1M | $4.9M | 0.84 | ||
| Physical therapy | $1.1M | $2.5M | $7.6M | 0.32 | 599 |
| Respiratory therapy | $888,536 | $1.8M | $10.5M | 0.18 | 1,254 |
| Observation beds (non-distinct part | $1.2M | $2M | 0.61 | ||
| Ct scan | $395,810 | $861,888 | $44.1M | 0.02 | 1,045 |
| Mri | $153,889 | $446,964 | $10.3M | 0.04 | 1,080 |
| Anesthesiology | $317,960 | $11.3M | 0.03 | 1,618 | |
| Renal dialysis | $152,621 | $296,646 | 0.51 | 125 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $8M | $21.2M | $44.9M | 0.47 | 48,315 |
| Nursery | $1.1M | $6.3M | $9.1M | 0.69 | 1,592 |
| Intensive care unit | $1.2M | $3.2M | $5.6M | 0.57 | 4,821 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.4M | $15.2M | 86,799 | $34.25 | 39,759 |
| Cap rel costs-bldg & fixt | $10.7M | 183,477 | |||
| Employee benefits department | $148,097 | $9.6M | 3,398 | $38.28 | 174 |
| Cap rel costs-mvble equip | $8.2M | ||||
| Operation of plant | $170,664 | $3M | 4,512 | $38.49 | 16,044 |
| Pharmacy | $1.6M | $1.7M | 36,287 | $43.12 | 2,546 |
| Nursing administration | $1.5M | $1.5M | 27,046 | $50.93 | 798 |
| Housekeeping | $839,272 | $1.3M | 52,598 | $14.92 | 5,303 |
| Cap rel costs-bldg & fixt | $939,587 | ||||
| Dietary | $426,318 | $836,343 | 25,714 | $16.94 | 4,448 |
| Central services & supply | $176,500 | $549,539 | 7,770 | $23.10 | 2,998 |
| Laundry & linen service | $269,952 | 4,548 | $16.29 | ||
| Social service | $186,033 | $211,638 | 6,375 | $29.54 | 105 |
| Cafeteria | $80,887 | $79,240 | 4,740 | $17.07 | 1,536 |
| Medical records & library | $2,898 | 599 |
Source: CMS cost report (HCRIS, Form 2552-10), report 763682, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
About Memorial Hospital Shiloh's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Memorial Hospital Shiloh range from $298 to $916 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $498. The median at nearby comparable hospitals is $856. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Memorial Hospital Shiloh range from $1,021 to $3,983 across 4 insurers. Cigna's rate is $2,092. The median at nearby comparable hospitals is $1,684. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Memorial Hospital Shiloh range from $7,121 to $8,240 across 2 insurers. UnitedHealthcare's rate is $8,240. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Memorial Hospital Shiloh range from $84 to $317 across 4 insurers. UnitedHealthcare's rate is $84. The median at nearby comparable hospitals is $228. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Memorial Hospital Shiloh range from $15,894 to $32,825 across 4 insurers. Aetna's rate is $24,702. The median at nearby comparable hospitals is $21,575. What a patient pays depends on their plan's deductible, coinsurance and network status.
Memorial Hospital Shiloh reported 5,688 inpatient discharges and 16,748 inpatient days from Jan 1, 2020 to Dec 31, 2020.
Memorial Hospital Shiloh reported 541 full-time-equivalent employees on payroll from Jan 1, 2020 to Dec 31, 2020.
Memorial Hospital Shiloh reported $92.2M in net patient revenue on $434.2M of gross charges for Jan 1, 2020 to Dec 31, 2020, an operating margin of -7.8%, and net income of -$11.8M.
Memorial Hospital Shiloh reported $6.3M of unreimbursed and uncompensated care for Jan 1, 2020 to Dec 31, 2020, including $1.7M of charity care at cost.
Insurers' price transparency files list Memorial Hospital Shiloh under employer identification number 37-0635502 (Protestant Memorial Medical Center INC). 15 health plans and networks list 37-0635502 for it.
CMS lists 28 services at Memorial Hospital Shiloh, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Clinical Laboratory, Coronary Care Unit, CT Scan.
Memorial Hospital Shiloh has 94 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Memorial Hospital Shiloh is located at 1404 Cross Street, Shiloh, IL 62269. Its main phone number is (618) 607-1000.
Memorial Hospital Shiloh's CMS Certification Number (CCN), also called its Medicare provider number, is 140307.
The National Provider Identifier (NPI) on file for Memorial Hospital Shiloh is 1023494473.
Memorial Hospital Shiloh is affiliated with BJC Healthcare.
Memorial Hospital Shiloh lists 15 in-network payers, including Avera Health Plans, BCBS, Centene, Harvard Pilgrim Health Care (Point32Health), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
65 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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