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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Memorial Medical Center

Memorial Health System · Springfield, IL

701 North First Street, Springfield, IL 62781(217) 788-3000

3 of 5

CMS star rating

464

Beds

20,782

Inpatient discharges a year

$889.2M

Net patient revenue a year

29

In-network payers

Photo 1: MemorialPR, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Memorial Medical Center is a 464-bed voluntary non-profit - private hospital in Springfield, IL, affiliated with Memorial Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 228 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
140148
NPI
1255317590
Health system
Memorial Health System
Teaching
Major teaching hospital
County
Sangamon County
Metro area
Springfield, IL MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2021

Prices for common services

The 24 services Memorial Medical Center 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

$9,048 - $12,406

from 3 insurers · median $11,488

Aetna$12,406
Insurer A*$9,048
Insurer B*$11,488

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

$11,883 - $18,725

from 3 insurers · median $17,486

Aetna$18,725
Insurer A*$11,883
Insurer B*$17,486

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

Spinal fusion except cervical without MCC

MS-DRG 460

$71,407 - $75,679

from 2 insurers · median $73,543

UnitedHealthcare$75,679
Insurer A*$71,407
Medicare $24,409Nearby hospitals $53,09139% above nearby hospitals

65 Medicare discharges for this DRG in CMS hospital data

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$254 - $7,619

from 2 insurers · median $3,936

UnitedHealthcare$7,619
Insurer A*$254
Medicare $899Nearby hospitals $1,660137% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Memorial Medical Center

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
481%
142
Insurer B*8
146%
04
Insurer C*2
96%
02
Insurer D*13
90%
37

How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 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 Medical Center, 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthEMI HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    3 of 5 stars

    • 241 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.20%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 46 services, including trauma & transplant care
    • 1,227 affiliated clinicians
    See doctors and services
  • Finances

    $889.2M net patient revenue

    • Operating margin on patient care 0.8%
    • $10.8M unreimbursed and uncompensated care
    • $24.1M net income
    See finances
  • Ownership and leadership

    Owned by Memorial Health System

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Memorial Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
37-0661220Memorial Medical Center56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, AmeriBen and 51 more1255317590 Memorial Medical Center1568017481 Memorial Medical Center1255393112 Memorial Medical Centerand 15 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

701 North First Street, Springfield, IL 62781

(217) 788-3000

Get directions

Frequently asked questions

About Memorial Medical Center's rates and hospital price transparency.

How much does an MRI cost at Memorial Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Memorial Medical Center range from $380 to $406 across 2 insurers. Blue Cross Blue Shield of Illinois's rate is $380. The median at nearby comparable hospitals is $2,481. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Memorial Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Memorial Medical Center range from $359 to $520 across 2 insurers. Cigna's rate is $520. The median at nearby comparable hospitals is $592. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Memorial Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Memorial Medical Center range from $357 to $7,619 across 2 insurers. UnitedHealthcare's rate is $7,619. The median at nearby comparable hospitals is $2,278. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Memorial Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Memorial Medical Center range from $9,048 to $12,406 across 3 insurers. Aetna's rate is $12,406. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Memorial Medical Center's CMS star rating?

Memorial Medical Center 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 Memorial Medical Center a teaching hospital?

Yes. CMS counts 0.32 Medicare-funded residents per bed at Memorial Medical Center for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Memorial Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Memorial Medical Center's base inpatient payments by an estimated 0.20% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Memorial Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (358 discharges), heart failure and shock with mcc (190 discharges), septicemia or severe sepsis without mv >96 hours without mcc (121 discharges).

What is Memorial Medical Center's case mix index?

Memorial Medical Center's Medicare case mix index is 1.93 for fiscal year 2027, higher than 73% of hospitals paid under the inpatient prospective payment system.

How many patients does Memorial Medical Center admit?

Memorial Medical Center reported 20,782 inpatient discharges and 112,613 inpatient days from Oct 1, 2024 to Sep 30, 2025.

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
  • 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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  • Missing, duplicate and outdated charge lines identified
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