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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Methodist Hospital Of Chicago

Chicago, IL

5025 North Paulina Street, Chicago, IL 60640(773) 271-9040

Not rated by CMS

CMS star rating

141

Beds

2,002

Inpatient discharges a year

$20.1M

Net patient revenue a year

34

In-network payers

About this hospital

Methodist Hospital Of Chicago is a 141-bed voluntary non-profit - private hospital in Chicago, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 289 disclosed rate categories.

  • Disproportionate share hospital
CCN
140197
NPI
1891755351
Website
thorek.org
Teaching
No Medicare-funded residents
County
Cook County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2022

Prices for common services

The 24 services Methodist Hospital Of Chicago 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.

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$34,750

negotiated rate

Aetna$34,750
Medicare $27,950Nearby hospitals $38,0039% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$23,991

negotiated rate

Aetna$23,991
Medicare $16,162Nearby hospitals $20,07520% above nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$18,659

negotiated rate

Aetna$18,659
Medicare $12,855Nearby hospitals $19,441In line with nearby hospitals

Hospital reports orthopedic surgery services to CMS

Medicine & Surgery · Inpatient

Uterine and adnexa procedure for non-malignancy without CC or MCC

MS-DRG 743

$11,772

negotiated rate

Aetna$11,772
Medicare $8,362Nearby hospitals $11,772In line with nearby hospitals

Hospital reports inpatient surgical services to CMS

How the insurers pay at Methodist Hospital Of Chicago

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*7
283%
33
Insurer B*24
125%
1111
Insurer C*7
41%
07

How we chose these services: 1 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 5 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 Methodist Hospital Of Chicago, 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)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    Not rated by CMS

    • 175 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings

  • Doctors and services

    Accredited by ACHC

    • No Medicare-funded residents
    • 31 services
    • 25 affiliated clinicians
    See doctors and services

  • Finances

    $20.1M net patient revenue

    • Operating margin on patient care -15.3%
    • $133,269 unreimbursed and uncompensated care
    • $12.1M net income
    See finances

  • Ownership and leadership

    Private (not for profit)

    • Edward J Budd, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-6000085Thorek Memorial Hospital39Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, Asuris Northwest Health and 34 more1982643961 Thorek Memorial Hospital1891755351 Thorek Memorial Hospital1245441815 Thorek Memorial Hospitaland 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

5025 North Paulina Street, Chicago, IL 60640

(773) 271-9040

Get directions

Frequently asked questions

About Methodist Hospital Of Chicago's rates and hospital price transparency.

How much does an MRI cost at Methodist Hospital Of Chicago?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Methodist Hospital Of Chicago range from $1,377 to $1,377 across 1 insurers. Aetna's rate is $1,377. The median at nearby comparable hospitals is $296. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Methodist Hospital Of Chicago?

For CT of the abdomen and pelvis, without contrast (CPT 74176), published negotiated rates at Methodist Hospital Of Chicago range from $771 to $1,190 across 2 insurers. Aetna's rate is $771. The median at nearby comparable hospitals is $739. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Methodist Hospital Of Chicago?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Methodist Hospital Of Chicago range from $495 to $1,127 across 2 insurers. UnitedHealthcare's rate is $495. The median at nearby comparable hospitals is $1,945. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Methodist Hospital Of Chicago?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Methodist Hospital Of Chicago range from $98 to $98 across 1 insurers. Aetna's rate is $98. The median at nearby comparable hospitals is $130. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Methodist Hospital Of Chicago?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Methodist Hospital Of Chicago range from $18,659 to $18,659 across 1 insurers. Aetna's rate is $18,659. The median at nearby comparable hospitals is $19,441. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Methodist Hospital Of Chicago a teaching hospital?

CMS reports no Medicare-funded interns or residents at Methodist Hospital Of Chicago for fiscal year 2027.

Does Medicare penalize Methodist Hospital Of Chicago for readmissions?

No. Methodist Hospital Of Chicago has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Methodist Hospital Of Chicago?

In 2024, the most common were psychoses (127 discharges), alcohol, drug abuse or dependence without rehabilitation therapy without mcc (22 discharges).

What is Methodist Hospital Of Chicago's case mix index?

Methodist Hospital Of Chicago's Medicare case mix index is 1.25 for fiscal year 2027, higher than 8% of hospitals paid under the inpatient prospective payment system.

How many patients does Methodist Hospital Of Chicago admit?

Methodist Hospital Of Chicago reported 2,002 inpatient discharges and 14,109 inpatient days from Jul 1, 2024 to Jun 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.

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
      }
    ]
  }]
}
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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.

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
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