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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Northwest Community Hospital

Northwest Community Healthcare · Arlington Heights, IL

800 West Central Road, Arlington Heights, IL 60005(847) 618-1000

4 of 5

CMS star rating

389

Beds

20,439

Inpatient discharges a year

$589.6M

Net patient revenue a year

39

In-network payers

About this hospital

Northwest Community Hospital is a 389-bed voluntary non-profit - private hospital in Arlington Heights, IL, affiliated with Northwest Community Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 469 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Helipad
CCN
140252
NPI
1770531600
Website
nch.org
Health system
Northwest Community Healthcare
Teaching
No Medicare-funded residents
County
Cook County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2016

Prices for common services

The 24 services Northwest Community Hospital 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

$5,827 - $6,978

from 4 insurers · median $6,467

UnitedHealthcare$5,827
Insurer A*$6,294
Insurer B*$6,641
Insurer C*$6,978

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

$7,829 - $9,924

from 4 insurers · median $9,197

UnitedHealthcare$7,829
Insurer A*$8,951
Insurer B*$9,444
Insurer C*$9,924

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

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$17,193 - $19,964

from 4 insurers · median $18,582

Aetna$19,964
Insurer A*$17,193
Insurer B*$18,164
Insurer C*$19,000
Medicare $10,871Nearby hospitals $23,06619% below nearby hospitals

210 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$300 - $3,247

from 4 insurers · median $818

BCBS Illinois$731
Insurer A*$300
Insurer B*$904
Insurer C*$3,247
Medicare $352Nearby hospitals $811In line with nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Northwest Community Hospital

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*24
183%
911
Insurer B*21
156%
29
Insurer C*24
135%
017
Insurer D*24
98%
48

How we chose these services: 8 appear in this hospital's own Medicare claims, 11 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 Northwest Community Hospital, 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

    • 176 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.37%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 49 services, including trauma care
    • 1,714 affiliated clinicians
    See doctors and services
  • Finances

    $589.6M net patient revenue

    • Operating margin on patient care -4.2%
    • $44.7M unreimbursed and uncompensated care
    • $25.9M net income
    See finances
  • Ownership and leadership

    Owned by Endeavor Health

    • Private (not for profit)
    • Gerald Gallagher, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-2340313(multi-state) Northwest Community Hospital66Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 61 more1770531600 Northwest Community Hospital1467817874 Northwest Community Hospital1578932869 Northwest Community Hospitaland 8 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

800 West Central Road, Arlington Heights, IL 60005

(847) 618-1000

Get directions

Frequently asked questions

About Northwest Community Hospital's rates and hospital price transparency.

How much does an MRI cost at Northwest Community Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Northwest Community Hospital range from $300 to $2,377 across 4 insurers. Aetna's rate is $2,377. The median at nearby comparable hospitals is $906. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Northwest Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northwest Community Hospital range from $300 to $3,247 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $731. The median at nearby comparable hospitals is $811. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Northwest Community Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Northwest Community Hospital range from $1,356 to $2,052 across 4 insurers. Cigna's rate is $2,052. The median at nearby comparable hospitals is $2,058. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Northwest Community Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Northwest Community Hospital range from $5,827 to $6,978 across 4 insurers. UnitedHealthcare's rate is $5,827. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Northwest Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northwest Community Hospital range from $95 to $421 across 4 insurers. Cigna's rate is $224. The median at nearby comparable hospitals is $255. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Northwest Community Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Northwest Community Hospital range from $17,193 to $19,964 across 4 insurers. Aetna's rate is $19,964. The median at nearby comparable hospitals is $23,066. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Northwest Community Hospital's CMS star rating?

Northwest Community Hospital 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 Northwest Community Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Northwest Community Hospital for fiscal year 2027.

Does Medicare penalize Northwest Community Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Northwest Community Hospital's base inpatient payments by an estimated 0.37% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Northwest Community Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (632 discharges), heart failure and shock with mcc (305 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (195 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.

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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  • 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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