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HOSPITAL

MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE

Crystal Lake, IL

875 S. ROUTE 31, Crystal Lake, IL 6001481906087566080

Not rated by CMS

CMS star rating

13

Beds

383

Inpatient discharges a year

$42.5M

Net patient revenue a year

30

In-network payers

About this hospital

MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE is a 13-bed hospital in Crystal Lake, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 228 disclosed rate categories.

CCN
140308
NPI
1023754371
Teaching
No Medicare-funded residents
County
McHenry County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
2023
Last CMS survey
2023

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 Anesthesia

Range: 00100 - 01999

Negotiated

Very Low

Aetna

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Negotiated

Very Low

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

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

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

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)
Aspirus Health PlanAvera Health PlansBanner HealthDean Health PlanFirst HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
20-1673011Mercy Crystal Lake Hospital and Medical Center INC54Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 49 more1023754371 Mercy Crystal Lake Hospital And Medical Center Inc1598718603 Mercy Health System Corporation1942084538 Mercy Crystal Lake Hospital And Medical Center Inc

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

875 S. ROUTE 31, Crystal Lake, IL 600148190

6087566080

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Frequently asked questions

About MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE's rates and hospital price transparency.

Is MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE a teaching hospital?

CMS reports no Medicare-funded interns or residents at MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE for fiscal year 2027.

Does Medicare penalize MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE for readmissions?

No. MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE's case mix index?

MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE's Medicare case mix index is 1.35 for fiscal year 2027, higher than 14% of hospitals paid under the inpatient prospective payment system.

How many patients does MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE admit?

MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE reported 383 inpatient discharges and 1,052 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE have?

MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE reported 148 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE make?

MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE reported $42.5M in net patient revenue on $174.4M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -15.2%, and net income of -$6.2M.

How much charity and uncompensated care does MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE provide?

MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE reported $1.1M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025.

Who is the CEO of MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE?

MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE's Medicare enrollment lists Javon R Bea as President And CEO since 1982.

What is MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE's tax ID (EIN)?

Insurers' price transparency files list MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE under employer identification number 20-1673011 (Mercy Crystal Lake Hospital and Medical Center INC). 54 health plans and networks list 20-1673011 for it.

How many doctors are affiliated with MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE?

131 clinicians who bill Medicare list MERCYHEALTH HOSPITAL AND PHYSICIAN CLINIC-CRYSTAL LAKE as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are certified registered nurse anesthetist (16), emergency medicine physician (16), internal medicine physician (14).

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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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