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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Palos Community Hospital

Northwestern Medicine · Palos Heights, IL

12251 South 80th Avenue, Palos Heights, IL 60463(708) 923-4000

4 of 5

CMS star rating

354

Beds

17,790

Inpatient discharges a year

$485.7M

Net patient revenue a year

37

In-network payers

About this hospital

Palos Community Hospital is a 354-bed voluntary non-profit - private hospital in Palos Heights, IL, affiliated with Northwestern Medicine. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 369 disclosed rate categories.

  • Helipad
CCN
140062
NPI
1851386692
Website
nm.org
Health system
Northwestern Medicine
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
2011

Prices for common services

The 24 services Palos 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

$5,857 - $9,812

from 4 insurers · median $8,714

Cigna$5,857
Insurer A*$7,653
Insurer B*$9,774
Insurer C*$9,812

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

$8,543 - $13,184

from 4 insurers · median $11,280

Cigna$9,593
Insurer A*$8,543
Insurer B*$12,967
Insurer C*$13,184

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

$1,465 - $2,944

from 2 insurers · median $2,205

Aetna$1,465
Insurer A*$2,944
Medicare $351Nearby hospitals $1,17588% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,051 - $13,770

from 4 insurers · median $6,268

BCBS Illinois$3,051
Insurer A*$3,975
Insurer B*$8,562
Insurer C*$13,770
Medicare $3,261Nearby hospitals $4,77731% above nearby hospitals

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

How the insurers pay at Palos 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*23
442%
181
Insurer B*19
392%
114
Insurer C*19
345%
97
Insurer D*24
307%
146

How we chose these services: 6 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 3 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 Palos 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    4 of 5 stars

    • 252 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.33%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 38 services
    • 1,745 affiliated clinicians
    See doctors and services
  • Finances

    $485.7M net patient revenue

    • Operating margin on patient care -23.7%
    • $22M unreimbursed and uncompensated care
    • -$60.2M net income
    See finances
  • Ownership and leadership

    Owned by Northwestern Memorial Healthcare

    • Private (not for profit)
    • Michael V Vivoda, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Palos 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
36-2169179Palos Community Hospital65Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 60 more1851386692 Palos Community Hospital1790750016 Palos Community Hospital1962477919 Palos Community 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

12251 South 80th Avenue, Palos Heights, IL 60463

(708) 923-4000

Get directions

Frequently asked questions

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

How much does an MRI cost at Palos Community Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Palos Community Hospital range from $1,575 to $6,924 across 3 insurers. Aetna's rate is $1,575. The median at nearby comparable hospitals is $1,096. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Palos Community Hospital range from $1,465 to $2,944 across 2 insurers. Aetna's rate is $1,465. The median at nearby comparable hospitals is $1,175. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Palos Community Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Palos Community Hospital range from $3,001 to $6,001 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $3,001. The median at nearby comparable hospitals is $2,703. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Palos Community Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Palos Community Hospital range from $5,857 to $9,812 across 4 insurers. Cigna's rate is $5,857. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Palos Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Palos Community Hospital range from $208 to $1,116 across 4 insurers. UnitedHealthcare's rate is $748. The median at nearby comparable hospitals is $257. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Palos Community Hospital range from $17,566 to $34,043 across 4 insurers. UnitedHealthcare's rate is $34,043. The median at nearby comparable hospitals is $26,614. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Palos Community Hospital's CMS star rating?

Palos 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 Palos Community Hospital a teaching hospital?

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

Does Medicare penalize Palos Community Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Palos Community Hospital's base inpatient payments by an estimated 1.33% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (559 discharges), heart failure and shock with mcc (450 discharges), respiratory infections and inflammations with mcc (304 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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  • 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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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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