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Short Term Acute Care HospitalGovernment - Local

Provident Hospital Of Cook County

Cook County Health and Hospital System · Chicago, IL

500 East 51st Street, Chicago, IL 60615(312) 572-2000

Not rated by CMS

CMS star rating

34

Beds

688

Inpatient discharges a year

$42.9M

Net patient revenue a year

29

In-network payers

Photo 1: Zol87 from Chicago, Illinois, USA, CC BY-SA 4.0, via Wikimedia Commons · Photo 2: Public domain (USGS NAIP, CONUS), via USGS National Map / USDA NAIP

About this hospital

Provident Hospital Of Cook County is a 34-bed government - local hospital in Chicago, IL, affiliated with Cook County Health and Hospital System. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 262 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
140300
NPI
1487664561
Website
cookcountyhealth.org
Health system
Cook County Health and Hospital System
Teaching
Teaching hospital
County
Cook County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1993
Last CMS survey
2005

Prices for common services

The 24 services Provident Hospital Of Cook County 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

$3,255 - $54,590

from 2 insurers · median $28,922

BCBS Illinois$54,590
Insurer A*$3,255

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

$4,725 - $46,963

from 2 insurers · median $25,844

BCBS Illinois$46,963
Insurer A*$4,725

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

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$3,255 - $54,590

from 2 insurers · median $28,922

BCBS Illinois$54,590
Insurer A*$3,255

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

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$75,403

negotiated rate

BCBS Illinois$75,403
Medicare $16,162Nearby hospitals $26,978179% above nearby hospitals

Hospital reports neurosurgical services to CMS

How the insurers pay at Provident Hospital Of Cook County

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
146%
131
Insurer B*14
123%
014
Insurer C*17
112%
314
Insurer D*20
89%
512

How we chose these services: 1 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 8 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 Provident Hospital Of Cook County, 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)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    Not rated by CMS

    • 190 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

    • Teaching hospital
    • 44 services
    • 162 affiliated clinicians
    See doctors and services

  • Finances

    $42.9M net patient revenue

    • Operating margin on patient care -130.4%
    • $60.4M unreimbursed and uncompensated care
    • -$26.4M net income
    See finances

  • Ownership and leadership

    Owned by Cook County

    • Local
    • 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 Provident Hospital Of Cook County in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-6006541(multi-state) Veterans Assistance Commission C44Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 39 more1487664561 Cook County1588612832 Cook County1437279676 Cook Countyand 80 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

500 East 51st Street, Chicago, IL 60615

(312) 572-2000

Get directions

Frequently asked questions

About Provident Hospital Of Cook County's rates and hospital price transparency.

How much does an MRI cost at Provident Hospital Of Cook County?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Provident Hospital Of Cook County range from $405 to $3,684 across 4 insurers. Cigna's rate is $439. The median at nearby comparable hospitals is $1,308. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Provident Hospital Of Cook County?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Provident Hospital Of Cook County range from $302 to $2,023 across 4 insurers. Aetna's rate is $405. The median at nearby comparable hospitals is $1,005. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Provident Hospital Of Cook County?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Provident Hospital Of Cook County range from $343 to $1,539 across 4 insurers. UnitedHealthcare's rate is $856. The median at nearby comparable hospitals is $1,266. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Provident Hospital Of Cook County?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Provident Hospital Of Cook County range from $3,255 to $54,590 across 2 insurers. Blue Cross Blue Shield of Illinois's rate is $54,590. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Provident Hospital Of Cook County?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Provident Hospital Of Cook County range from $74 to $122 across 4 insurers. Aetna's rate is $122. The median at nearby comparable hospitals is $162. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Provident Hospital Of Cook County?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Provident Hospital Of Cook County range from $69,605 to $69,605 across 1 insurers. Blue Cross Blue Shield of Illinois's rate is $69,605. The median at nearby comparable hospitals is $20,879. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Provident Hospital Of Cook County a teaching hospital?

Yes. CMS counts 0.01 Medicare-funded residents per bed at Provident Hospital Of Cook County for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Provident Hospital Of Cook County for readmissions?

No. Provident Hospital Of Cook County has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Provident Hospital Of Cook County?

In 2024, the most common were heart failure and shock with mcc (16 discharges).

What is Provident Hospital Of Cook County's case mix index?

Provident Hospital Of Cook County's Medicare case mix index is 1.15 for fiscal year 2027, higher than 5% 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.

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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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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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