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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Methodist Medical Center Of Illinois

Unitypoint Health · Peoria, IL

221 Ne Glen Oak Avenue, Peoria, IL 61636(309) 672-5522

2 of 5

CMS star rating

279

Beds

11,178

Inpatient discharges a year

$514.9M

Net patient revenue a year

35

In-network payers

About this hospital

Methodist Medical Center Of Illinois is a 279-bed voluntary non-profit - private hospital in Peoria, IL, affiliated with Unitypoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 282 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
140209
NPI
1164474755
Website
carle.org
Health system
Unitypoint Health
Teaching
Teaching hospital
County
Peoria County
Metro area
Peoria, IL MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2019

Prices for common services

The 24 services Methodist Medical Center Of Illinois 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

$5,948 - $8,622

from 4 insurers · median $7,647

BCBS Illinois$8,622
Insurer A*$5,948
Insurer B*$7,319
Insurer C*$7,975

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

$8,459 - $12,889

from 4 insurers · median $9,946

BCBS Illinois$12,889
Insurer A*$8,459
Insurer B*$9,471
Insurer C*$10,421

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

$374 - $3,231

from 4 insurers · median $1,066

Aetna$374
Insurer A*$1,061
Insurer B*$1,070
Insurer C*$3,231
Medicare $345Nearby hospitals $83727% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$853 - $9,931

from 2 insurers · median $5,392

UnitedHealthcare$9,931
Insurer A*$853
Medicare $3,204Nearby hospitals $4,9639% above nearby hospitals

13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Methodist Medical Center Of Illinois

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*14
619%
53
Insurer B*15
414%
92
Insurer C*24
300%
99
Insurer D*20
94%
214

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 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 Methodist Medical Center Of Illinois, 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 HealthCenteneGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    2 of 5 stars

    • 213 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.51%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 44 services, including trauma care
    • 692 affiliated clinicians
    See doctors and services
  • Finances

    $514.9M net patient revenue

    • Operating margin on patient care -25.6%
    • $29.1M unreimbursed and uncompensated care
    • -$117.3M net income
    See finances
  • Ownership and leadership

    Owned by Carle Health - West Region

    • Private (not for profit)
    • James C Leonard MD, 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 Medical Center Of Illinois in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
37-0661223Methodist Medical Center Of Illinois59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 54 more1164474755 Methodist Medical Center Of Illinois1821043365 Methodist Medical Center Of Illinois1710198379 Methodist Medical Center Of Illinoisand 30 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

221 Ne Glen Oak Avenue, Peoria, IL 61636

(309) 672-5522

Get directions

Frequently asked questions

About Methodist Medical Center Of Illinois's rates and hospital price transparency.

How much does an MRI cost at Methodist Medical Center Of Illinois?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Methodist Medical Center Of Illinois range from $407 to $3,321 across 4 insurers. Cigna's rate is $1,379. The median at nearby comparable hospitals is $1,142. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Methodist Medical Center Of Illinois?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Methodist Medical Center Of Illinois range from $374 to $3,231 across 4 insurers. Aetna's rate is $374. The median at nearby comparable hospitals is $837. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Methodist Medical Center Of Illinois?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Methodist Medical Center Of Illinois range from $388 to $3,671 across 2 insurers. UnitedHealthcare's rate is $3,671. The median at nearby comparable hospitals is $2,500. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Methodist Medical Center Of Illinois?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Methodist Medical Center Of Illinois range from $5,948 to $8,622 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $8,622. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Methodist Medical Center Of Illinois?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Methodist Medical Center Of Illinois range from $102 to $373 across 4 insurers. Aetna's rate is $126. The median at nearby comparable hospitals is $253. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Methodist Medical Center Of Illinois's CMS star rating?

Methodist Medical Center Of Illinois has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Methodist Medical Center Of Illinois a teaching hospital?

Yes. CMS counts 0.12 Medicare-funded residents per bed at Methodist Medical Center Of Illinois for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Methodist Medical Center Of Illinois for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Methodist Medical Center Of Illinois's base inpatient payments by an estimated 0.51% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Methodist Medical Center Of Illinois?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (258 discharges), heart failure and shock with mcc (128 discharges), infectious and parasitic diseases with o.r. procedures with mcc (58 discharges).

What is Methodist Medical Center Of Illinois's case mix index?

Methodist Medical Center Of Illinois's Medicare case mix index is 1.97 for fiscal year 2027, higher than 76% of hospitals paid under the inpatient prospective payment system.

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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Chargemaster analysis

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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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