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Short Term Acute Care HospitalProprietary

Midwestern Regional Medical Center

Zion, IL

2520 Elisha Avenue, Zion, IL 60099(847) 872-4561

4 of 5

CMS star rating

73

Beds

565

Inpatient discharges a year

$265M

Net patient revenue a year

34

In-network payers

About this hospital

Midwestern Regional Medical Center is a 73-bed proprietary hospital in Zion, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 280 disclosed rate categories.

CCN
140100
NPI
1811984388
Teaching
No Medicare-funded residents
County
Lake County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2002

Prices for common services

The 24 services Midwestern Regional 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$407 - $3,160

from 3 insurers · median $1,255

Aetna$407
Insurer A*$1,255
Insurer B*$3,160
Medicare $353Nearby hospitals $3,79667% below nearby hospitals

Common here, based on CMS Medicare volume

Mammography

Screening mammography, bilateral

CPT 77067

$126 - $1,141

from 2 insurers · median $633

Aetna$126
Insurer A*$1,141
Medicare $92Nearby hospitals $35777% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$464 - $1,255

from 3 insurers · median $833

Aetna$464
Insurer A*$833
Insurer B*$1,255
Medicare $106Nearby hospitals $803In line with nearby hospitals

Common here, based on CMS Medicare volume

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,450 - $4,840

from 2 insurers · median $4,145

UnitedHealthcare$4,840
Insurer A*$3,450
Medicare $919Nearby hospitals $3,8019% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Midwestern Regional 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*14
987%
103
Insurer B*18
519%
99
Insurer C*24
282%
121

How we chose these services: 4 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 1 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 Midwestern Regional 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

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

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 21 services
    • 125 affiliated clinicians
    See doctors and services
  • Finances

    $265M net patient revenue

    • Operating margin on patient care -1.9%
    • $10.6M unreimbursed and uncompensated care
    • $4.9M net income
    See finances
  • Ownership and leadership

    Owned by Coh Holdco Inc.

    • Private (for profit)
    • Anthony Govorchin, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Midwestern Regional 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
36-2510771Midwestern Regional Medical Center59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more1811984388 Midwestern Regional Medical Center Inc.1730392424 Midwestern Regional Medical Center1073500419 Southwestern Regional Medical Center LLCand 2 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

2520 Elisha Avenue, Zion, IL 60099

(847) 872-4561

Get directions

Frequently asked questions

About Midwestern Regional Medical Center's rates and hospital price transparency.

How much does an MRI cost at Midwestern Regional Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Midwestern Regional Medical Center range from $1,200 to $6,266 across 3 insurers. Blue Cross Blue Shield of Illinois's rate is $6,266. The median at nearby comparable hospitals is $3,719. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Midwestern Regional Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Midwestern Regional Medical Center range from $407 to $3,160 across 3 insurers. Aetna's rate is $407. The median at nearby comparable hospitals is $3,796. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Midwestern Regional Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Midwestern Regional Medical Center range from $3,450 to $4,840 across 2 insurers. UnitedHealthcare's rate is $4,840. The median at nearby comparable hospitals is $4,584. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Midwestern Regional Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Midwestern Regional Medical Center range from $126 to $1,141 across 2 insurers. Aetna's rate is $126. The median at nearby comparable hospitals is $357. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Midwestern Regional Medical Center's CMS star rating?

Midwestern Regional Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Midwestern Regional Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Midwestern Regional Medical Center for fiscal year 2027.

Does Medicare penalize Midwestern Regional Medical Center for readmissions?

No. Midwestern Regional Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (20 discharges).

What is Midwestern Regional Medical Center's case mix index?

Midwestern Regional Medical Center's Medicare case mix index is 3.37 for fiscal year 2027, higher than 99% of hospitals paid under the inpatient prospective payment system.

How many patients does Midwestern Regional Medical Center admit?

Midwestern Regional Medical Center reported 565 inpatient discharges and 3,458 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.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • 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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