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Short Term Acute Care HospitalVoluntary Nonprofit - Other

Methodist Hospitals Inc

The Methodist Hospitals · Gary, IN

600 Grant Street, Gary, IN 46402(219) 886-4000

1 of 5

CMS star rating

399

Beds

12,262

Inpatient discharges a year

$468.6M

Net patient revenue a year

38

In-network payers

About this hospital

Methodist Hospitals Inc is a 399-bed voluntary nonprofit - other hospital in Gary, IN, affiliated with The Methodist Hospitals. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 320 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
150002
NPI
1467504555
Health system
The Methodist Hospitals
Teaching
Teaching hospital
County
Lake County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 8, WPS Government Health Administrators (08001)
In Medicare since
1966
Last CMS survey
2017

Prices for common services

The 24 services Methodist Hospitals Inc 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

$6,763 - $10,242

from 4 insurers · median $8,533

Aetna$8,889
Insurer A*est.$6,763
Insurer B*$8,176
Insurer C*$10,242

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

$11,650 - $12,205

from 3 insurers · median $11,983

Aetna$11,983
Insurer A*$11,650
Insurer B*$12,205

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

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$451 - $5,647

from 4 insurers · median $2,361

Aetna$451
Insurer A*$552
Insurer B*$4,170
Insurer C*$5,647
Medicare $347Nearby hospitals $1,002136% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$6,763 - $10,242

from 4 insurers · median $8,533

Aetna$8,889
Insurer A*est.$6,763
Insurer B*$8,176
Insurer C*$10,242

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

How the insurers pay at Methodist Hospitals Inc

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*12
715%
72
Insurer B*24
341%
129
Insurer C*23
215%
412
Insurer D*22
127%
216

How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Hospitals Inc, 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    1 of 5 stars

    • 158 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.81%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 42 services
    • 467 affiliated clinicians
    See doctors and services
  • Finances

    $468.6M net patient revenue

    • Operating margin on patient care -8.5%
    • $44.7M unreimbursed and uncompensated care
    • -$7.4M net income
    See finances
  • Ownership and leadership

    Private (not for profit)

    • Matthew Doyle, chief executive
    • 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 Methodist Hospitals Inc in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-0868133(multi-state) The Methodist Hospitals INC59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1518295948 The Methodist Hospitals Inc.1467504555 The Methodist Hospitals Inc1760474670 The Methodist Hospitals Inc.and 26 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

600 Grant Street, Gary, IN 46402

(219) 886-4000

Get directions

Frequently asked questions

About Methodist Hospitals Inc's rates and hospital price transparency.

How much does an MRI cost at Methodist Hospitals Inc?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Methodist Hospitals Inc range from $525 to $3,612 across 4 insurers. Blue Cross Blue Shield's rate is $2,685. The median at nearby comparable hospitals is $1,002. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Methodist Hospitals Inc?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Methodist Hospitals Inc range from $451 to $5,647 across 4 insurers. Aetna's rate is $451. The median at nearby comparable hospitals is $1,002. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Methodist Hospitals Inc?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Methodist Hospitals Inc range from $592 to $4,174 across 3 insurers. UnitedHealthcare's rate is $2,816. The median at nearby comparable hospitals is $3,591. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Methodist Hospitals Inc?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Methodist Hospitals Inc range from $6,763 to $10,242 across 4 insurers. Aetna's rate is $8,889. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Methodist Hospitals Inc?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Methodist Hospitals Inc range from $83 to $240 across 4 insurers. UnitedHealthcare's rate is $183. The median at nearby comparable hospitals is $299. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Methodist Hospitals Inc?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Methodist Hospitals Inc range from $26,356 to $33,474 across 3 insurers. Blue Cross Blue Shield's rate is $33,474. The median at nearby comparable hospitals is $28,381. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Methodist Hospitals Inc's CMS star rating?

Methodist Hospitals Inc 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 Methodist Hospitals Inc a teaching hospital?

Yes. CMS counts 0.01 Medicare-funded residents per bed at Methodist Hospitals Inc for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Methodist Hospitals Inc for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Methodist Hospitals Inc's base inpatient payments by an estimated 0.81% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Methodist Hospitals Inc?

In 2024, the most common were heart failure and shock with mcc (172 discharges), septicemia or severe sepsis without mv >96 hours with mcc (155 discharges), simple pneumonia and pleurisy with mcc (69 discharges).

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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