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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Saint Anthony Hospital

Chicago, IL

2875 West 19th Street, Chicago, IL 60623(773) 521-1710

2 of 5

CMS star rating

151

Beds

3,131

Inpatient discharges a year

$145.9M

Net patient revenue a year

30

In-network payers

About this hospital

Saint Anthony Hospital is a 151-bed voluntary non-profit - private hospital in Chicago, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 235 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
CCN
140095
NPI
1194723999
Website
sahchicago.org
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
1966
Last CMS survey
2021

Prices for common services

The 24 services Saint Anthony 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

$5,006 - $7,545

from 4 insurers · median $5,618

UnitedHealthcare$5,135
Insurer A*$5,006
Insurer B*$6,100
Insurer C*$7,545

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

$6,625 - $10,587

from 4 insurers · median $7,930

UnitedHealthcare$6,625
Insurer A*$6,901
Insurer B*$8,960
Insurer C*$10,587

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

$5,006 - $7,545

from 4 insurers · median $5,618

UnitedHealthcare$5,135
Insurer A*$5,006
Insurer B*$6,100
Insurer C*$7,545

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

Spinal fusion except cervical without MCC

MS-DRG 460

$27,569 - $34,570

from 3 insurers · median $31,015

Aetna$27,569
Insurer A*$31,015
Insurer B*$34,570
Medicare $27,950Nearby hospitals $42,02626% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

How the insurers pay at Saint Anthony 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*21
182%
132
Insurer B*23
149%
89
Insurer C*24
128%
173
Insurer D*23
126%
413

How we chose these services: 1 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 10 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 Saint Anthony 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)
AmbetterAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    2 of 5 stars

    • 181 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.02%)
    See quality ratings

  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 32 services
    • 139 affiliated clinicians
    See doctors and services

  • Finances

    $145.9M net patient revenue

    • Operating margin on patient care -3.8%
    • $9.1M unreimbursed and uncompensated care
    • $7.7M net income
    See finances

  • Ownership and leadership

    Private (not for profit)

    • Guy A Medaglia, 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 Saint Anthony 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
51-0217097St. Anthony Hospital47Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 42 more1194723999 Saint Anthony Hospital1518170877 Saint Anthony Hospital1861831315 Saint Anthony Hospitaland 6 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

2875 West 19th Street, Chicago, IL 60623

(773) 521-1710

Get directions

Frequently asked questions

About Saint Anthony Hospital's rates and hospital price transparency.

How much does an MRI cost at Saint Anthony Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Saint Anthony Hospital range from $471 to $1,540 across 4 insurers. Cigna's rate is $538. The median at nearby comparable hospitals is $512. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Saint Anthony Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Saint Anthony Hospital range from $442 to $870 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $460. The median at nearby comparable hospitals is $424. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Saint Anthony Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Saint Anthony Hospital range from $1,183 to $2,631 across 4 insurers. Cigna's rate is $1,368. The median at nearby comparable hospitals is $1,261. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Saint Anthony Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Saint Anthony Hospital range from $5,006 to $7,545 across 4 insurers. UnitedHealthcare's rate is $5,135. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Saint Anthony Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Saint Anthony Hospital range from $100 to $130 across 4 insurers. Aetna's rate is $130. The median at nearby comparable hospitals is $128. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Saint Anthony Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Saint Anthony Hospital range from $14,360 to $21,955 across 4 insurers. Aetna's rate is $14,360. The median at nearby comparable hospitals is $19,738. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Saint Anthony Hospital's CMS star rating?

Saint Anthony Hospital 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 Saint Anthony Hospital a teaching hospital?

Yes. CMS counts 0.03 Medicare-funded residents per bed at Saint Anthony Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Saint Anthony Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Saint Anthony Hospital's base inpatient payments by an estimated 0.02% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Saint Anthony Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (22 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc (18 discharges), heart failure and shock with mcc (13 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
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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