Hospital Sisters Health System · Effingham, IL
3 of 5
CMS star rating
133
Beds
3,403
Inpatient discharges a year
$171M
Net patient revenue a year
39
In-network payers
St. Anthonys Memorial Hospital is a 133-bed voluntary non-profit - church hospital in Effingham, IL, affiliated with Hospital Sisters Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 264 disclosed rate categories.
The 24 services St. Anthonys Memorial 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.
CT imaging
CPT 74177
$400 - $6,251
from 4 insurers · median $2,794
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$8,515 - $8,814
from 2 insurers · median $8,664
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 807
$6,127
negotiated rate
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 obstetrics / child birth services to CMS
CT imaging
CPT 74176
$271 - $4,055
from 4 insurers · median $1,972
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$339 - $2,730
from 4 insurers · median $1,531
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$400 - $5,367
from 4 insurers · median $2,721
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$201 - $2,998
from 4 insurers · median $1,648
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$678 - $7,450
from 4 insurers · median $4,067
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$83 - $478
from 4 insurers · median $318
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$51 - $549
from 4 insurers · median $295
Common here, based on CMS Medicare volume
Urology
CPT 50590
$940 - $15,358
from 4 insurers · median $8,911
94 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
MRI imaging
CPT 72148
$274 - $4,052
from 4 insurers · median $2,178
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$120 - $1,382
from 4 insurers · median $737
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$400 - $4,836
from 4 insurers · median $2,616
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$274 - $3,638
from 4 insurers · median $2,001
Common here, based on CMS Medicare volume
Ultrasound
CPT 76856
$120 - $1,702
from 4 insurers · median $852
Common here, based on CMS Medicare volume
Ultrasound
CPT 76830
$90 - $1,116
from 4 insurers · median $609
Common here, based on CMS Medicare volume
Ultrasound
CPT 76536
$120 - $1,206
from 4 insurers · median $671
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$60 - $912
from 4 insurers · median $467
Common here, based on CMS Medicare volume
CT imaging
CPT 70491
$201 - $3,169
from 4 insurers · median $1,718
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$120 - $1,053
from 4 insurers · median $575
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73030
$53 - $738
from 4 insurers · median $379
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$54 - $626
from 4 insurers · median $329
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$986 - $5,100
from 4 insurers · median $2,906
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 1087% | 18 | 3 |
| Insurer B* | 24 | 1042% | 21 | 0 |
| Insurer C* | 22 | 156% | 0 | 22 |
| Insurer D* | 23 | 112% | 0 | 22 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 2 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 St. Anthonys Memorial Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$171M net patient revenue
Ownership and leadership
Owned by Hospital Sisters Health System Inc
The employer identification numbers (EINs) health plans and networks list for St. Anthonys Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 37-0661233St. Anthonys Memorial Hospital | 57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more | 1306800602 St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third1952641946 St Anthonys Memorial Hospital Of The Hospital Sisters Of The Third1891758678 St Anthonys Memorial Hospital Of The Hospital Sisters Of The Thirdand 11 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.
503 North Maple Street, Effingham, IL 62401
(217) 342-2121
How St. Anthonys Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 6 measures
0 better, 6 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 6 measures
0 better, 4 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
67%
Lower than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.95
Lower than 54% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
137 min
Lower than 59% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
71%
Higher than 63% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 6 measures | |
| Safety | No different on 4 measures | |
| Readmissions | Worse on 2 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 67% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.95 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 137 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 71% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts St. Anthonys Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
-0.44% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.55% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for St. Anthonys Memorial Hospital, beside the US median and the average of IL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.202 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 972 cases | 4.3 | 3.9 | 4.052 | Worse than 68% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.78 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.39 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 108 cases | 7.9 | 8.5 | 8.223 | Better than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 258 cases | 12.9 | 11 | 10.49 | Worse than 83% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 333 cases | 16.3 | 15.2 | 15.41 | Worse than 66% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 73 cases | 13.9 | 11.6 | 11.77 | Worse than 81% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,894 cases | 0.36 | 0.51 | 0.5668 | No Different Than the National Rate | Better than 72% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 173 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 2,762 cases | 0.19 | 0.2 | 0.2122 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 2,674 cases | 0.25 | 0.27 | 0.2728 | No Different Than the National Rate | Better than 71% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 264 cases | 2.25 | 2.29 | 2.301 | No Different Than the National Rate | Better than 57% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 55 cases | 1.65 | 1.63 | 1.67 | No Different Than the National Rate | Worse than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 64 cases | 8.59 | 8.88 | 9.531 | No Different Than the National Rate | Better than 58% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 288 cases | 3.46 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 57% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 53 cases | 6.86 | 5.105 | 5.152 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 51 cases | 2.06 | 1.72 | 1.741 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 172 cases | 1 | 1.02 | 1.045 | No Different Than the National Rate | Better than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.54 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 296 cases | -6.6 | 1.25 | 8.216 | Better than 61% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 362 cases | 13 | 3.85 | 13.94 | Worse than 63% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 612 cases | 12.6 | 12.9 | 12.97 | No Different Than the National Rate | Better than 69% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.17 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.176 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 305 cases | 1.3 | 1 | 1.016 | No Different than expected | Worse than 97% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.43 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 133 cases | 19 | 19.8 | 20.07 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 269 cases | 21.4 | 21.3 | 21.51 | Worse than 51% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.976 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 319 cases | 18.2 | 17.2 | 17.5 | Worse than 81% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.315 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.097 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,356 | 1,370 | 4,356 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.925 | 0.9835 | 4.318 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.961 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7494 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.043 | 0.138 | 0.2157 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.226 | 1.392 | 1.915 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 1,657 | 1,799 | 3,807 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.167 | 1.377 | 4.51 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.56 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.857 | 0.399 | 0.5759 | No Different than National Benchmark | Worse than 83% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3411 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 19 | 61 | 96.21 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.458 | 1.591 | 2.6 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.339 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9044 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3129 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.282 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 16 | 38 | 84.23 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.135 | 0.328 | 0.7325 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.72 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.899 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1945 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.01 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 14,815 | 14,451 | 38,381 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.745 | 0.567 | 2.311 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.305 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.5504 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.009 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.898 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 13,352 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 5.494 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.182 | 0.279 | 0.4067 | Better than the National Benchmark | Better than 64% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 444 cases | 74 | 73 | 72.75 | Better than 51% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 444 cases | 8 | 8 | 9.158 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 444 cases | 18 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 444 cases | 88 | 87 | 85.64 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 4 | 3.195 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 444 cases | 83 | 80 | 79.29 | Better than 69% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 444 cases | 93 | 91 | 90.92 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 444 cases | 3 | 4 | 4.576 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 3 | 3.305 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 444 cases | 14 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 444 cases | 81 | 79 | 78.82 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 444 cases | 92 | 91 | 90.1 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 444 cases | 4 | 5 | 5.823 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 3 | 2.89 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 444 cases | 15 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 444 cases | 66 | 61 | 61.18 | Better than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 444 cases | 83 | 77 | 76.11 | Better than 88% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 444 cases | 13 | 19 | 19.8 | Better than 83% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 3 | 2.559 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 444 cases | 21 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 444 cases | 90 | 86 | 85.26 | Better than 86% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 444 cases | 10 | 13 | 13.92 | Better than 78% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 3 | 3.237 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 444 cases | 90 | 87 | 86.08 | Better than 78% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 444 cases | 11 | 14 | 14.8 | Better than 77% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 444 cases | 89 | 86 | 85.2 | Better than 77% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 444 cases | 78 | 74 | 73.24 | Better than 72% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 444 cases | 5 | 7 | 7.369 | Better than 68% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 444 cases | 17 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 444 cases | 80 | 77 | 76.95 | Better than 65% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 444 cases | 3 | 6 | 6.199 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 444 cases | 17 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 444 cases | 86 | 85 | 84.2 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 444 cases | 2 | 3 | 3.979 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 444 cases | 12 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 444 cases | 5 | 8 | 8.937 | Better than 73% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 444 cases | 23 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 444 cases | 72 | 72 | 70.19 | Better than 49% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 444 cases | 90 | 88 | 87.19 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 3 | 3.136 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 444 cases | 77 | 74 | 73.94 | Better than 66% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 444 cases | 7 | 9 | 9.858 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 444 cases | 16 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 444 cases | 78 | 75 | 74.61 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 444 cases | 3 | 5 | 5.915 | Better than 81% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 444 cases | 19 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 444 cases | 81 | 77 | 76.32 | Better than 74% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 444 cases | 4 | 4 | 4.894 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 444 cases | 15 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 444 cases | 89 | 86 | 84.9 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 444 cases | 1 | 3 | 3.085 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 444 cases | 10 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 444 cases | 64 | 59 | 59.03 | Better than 65% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 444 cases | 7 | 9 | 10.03 | Better than 61% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 444 cases | 29 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 444 cases | 85 | 82 | 81.16 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 3 | 3.237 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 444 cases | 3 | 5 | 6.753 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 444 cases | 67 | 71 | 68.65 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 444 cases | 88 | 87 | 85.89 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 444 cases | 30 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 4 | 3.458 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 444 cases | 54 | 47 | 46.95 | Better than 78% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 444 cases | 18 | 30 | 30.69 | Better than 92% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 444 cases | 28 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 444 cases | 4 | 3 | 3.119 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 444 cases | 9 | 12 | 13.09 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 444 cases | 91 | 88 | 86.91 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 2,551 cases | 13 | 8 | 8.656 | Worse than 84% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 740 cases | 2 | 1 | 1.114 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 1,890 cases | 0 | 0 | 0.2258 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,026 cases | 77 | 79 | 83.65 | Worse than 54% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 377 cases | 142 | 154 | 183 | Better than 60% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 344 cases | 137 | 148 | 175 | Better than 59% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 12 cases | 254 | 247 | 304 | Worse than 53% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 25 cases | 283 | 293 | 315 | Better than 55% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 24,377 cases | 0 | 1 | 2.469 | The best result, shared by 23% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 17 cases | 82 | 74 | 78.84 | Better than 67% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 171 cases | 98 | 97 | 94.09 | Better than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 90 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 29 cases | 14 | 53 | 40.38 | Worse than 81% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 855 cases | 14 | 15 | 15.81 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 144 cases | 71 | 65 | 62.57 | Better than 63% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 43 cases | 81 | 73 | 71.03 | Better than 68% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 23 cases | 83 | 88 | 85.26 | Worse than 65% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 144 cases | 82 | 82 | 79.02 | Better than 48% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 83 cases | 98 | 94 | 92.05 | Better than 77% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 40 cases | 100 | 98 | 97 | The best result, shared by 14% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 75.87 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 34 cases | 97 | 94 | 94.02 | Better than 73% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,412 cases | 92 | 90 | 81.77 | Better than 56% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 447 cases | 96 | 97 | 94.61 | Worse than 55% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 8.3 | 5 | 6.493 | Worse than 79% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 6.3 | 6.6 | 7.806 | Better than 53% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.94 | 0.99 | 0.9996 | Better than 73% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 12.5 | 20 | 28.09 | Worse than 66% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 3.125 | 5 | 7.071 | Worse than 66% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 40 | 10 | 13.71 | Better than 77% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 10 | 2.5 | 3.521 | Better than 76% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 58 | 34 | 34.29 | Better than 84% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 14.5 | 8.75 | 8.88 | Better than 83% of US hospitals | |
| VBP safety domain scoreFY 2026 | 37.5 | 40 | 36.66 | Worse than 54% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 9.375 | 10 | 9.377 | Worse than 55% of US hospitals | |
| VBP total performance scoreFY 2026 | 37 | 29.5 | 28.2 | Better than 73% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 36 | 30 | 30 | 6 | 0 | 12.5 |
| VBP clinical outcomes weighted domain score | 9 | 7.5 | 7.5 | 1.5 | 0 | 3.125 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 20 | 60 | 60 | 40 |
| VBP efficiency and cost reduction weighted domain score | 5 | Not Available | 5 | 15 | 15 | 10 |
| VBP person and community engagement domain score | 47 | Not Available | Not Available | 20 | 28 | 58 |
| VBP person and community engagement weighted domain score | 11.75 | Not Available | Not Available | 5 | 7 | 14.5 |
| VBP safety domain score | 85 | Not Available | Not Available | 66.67 | 35 | 37.5 |
| VBP safety weighted domain score | 21.25 | Not Available | Not Available | 16.67 | 8.75 | 9.375 |
| VBP total performance score | 47 | Not Available | Not Available | 38.17 | 30.75 | 37 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9277 | 0.9969 | 1.009 | Better than 96% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 296 cases | 1.054 | 0.9983 | 1.013 | Worse than 81% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.055 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 314 cases | 1.012 | 0.9955 | 1.018 | Worse than 60% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.005 | 1.018 | 1.033 | 1.047 | 1.054 | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.011 | 1.016 | 1.014 | 0.9591 | 0.9761 | 0.9277 |
| READM-30-HF-HRRP | 0.9492 | 0.938 | 0.9925 | 1.094 | 1.12 | 1.054 |
| READM-30-HIP-KNEE-HRRP | 1.071 | 1.223 | 1.053 | 1.107 | N/A | N/A |
| READM-30-PN-HRRP | 1.006 | 1.004 | 1.041 | 1.008 | 0.9828 | 1.012 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 1.07 | 0.489 | 0.5958 | Worse than 88% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.284 | 0.346 | 0.436 | Better than 60% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.558 | 0.559 | 0.7638 | Better than 50% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.631 | 0.6405 | 0.6364 | Better than 51% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9514 | 0.9628 | 0.9883 | Better than 54% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.352 | 0.7945 | 0.9041 | Worse than 81% of US hospitals | |
| Total HAC scoreFY 2026 | 0.2081 | -0.0453 | 0.07842 | Worse than 66% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.7258 | -0.3929 | 0 | -0.6319 | -0.3253 | 0.2081 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2026)
Accreditation
None
Medical school affiliation
Church
Ownership type
146
Medicare-certified beds
149
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What St. Anthonys Memorial Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
3,403
Inpatient discharges
Medicare 40%, Medicaid 2%
11,289
Inpatient days
23% of available bed days used
335
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844404). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St. Anthonys Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 4,611 | 378 | 6,300 | 11,289 |
| Discharges | 1,356 | 52 | 1,995 | 3,403 |
| Average length of stay | 3.4 days | 7.3 days | 3.2 days | 3.3 days |
| Average daily census | 12.6 | 1.0 | 17.3 | 30.9 |
1,935
Medicare Advantage days
513 discharges
1,450
Medicaid managed care days
486 discharges
1,667
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 123 | 8,351 | 3,982 | 19% |
| Intensive care unit | 10 | 1,533 | 629 | 42% |
| Nursery | 1,405 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844404, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St. Anthonys Memorial Hospital treats Medicare patients for most often, in 2024. 1,027 Medicare discharges in 30 published DRGs; 6% surgical; 72% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 193 | $38,961 | $15,137 | $11,610 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 110 | $25,486 | $9,767 | $7,595 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 71 | $30,440 | $9,753 | $9,071 | 1.33 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 64 | $28,705 | $7,471 | $8,554 | 1.03 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 63 | $26,157 | $9,261 | $7,795 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 48 | $30,558 | $12,786 | $9,106 | 1.70 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 39 | $31,640 | $12,869 | $9,429 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 38 | $26,205 | $8,872 | $7,809 | 1.17 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 36 | $60,851 | $15,599 | $18,133 | 2.07 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 29 | $23,548 | $5,405 | $7,017 | 0.81 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $59,319 | $16,302 | $17,677 | 2.11 |
| Cellulitis without MCCMS-DRG 603, medical | 24 | $26,364 | $6,036 | $7,856 | 0.88 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $24,199 | $5,419 | $7,211 | 0.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $22,169 | $5,287 | $6,606 | 0.78 |
| Renal failure with CCMS-DRG 683, medical | 21 | $20,229 | $6,466 | $6,028 | 0.90 |
| Syncope and collapseMS-DRG 312, medical | 19 | $24,740 | $6,371 | $7,372 | 0.86 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $27,055 | $7,798 | $8,062 | 1.10 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $24,276 | $5,585 | $7,234 | 0.80 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $24,996 | $6,963 | $7,449 | 0.90 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $29,778 | $8,964 | $8,874 | 1.20 |
See all 30 Medicare inpatient DRGs at St. Anthonys Memorial Hospital
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) St. Anthonys Memorial Hospital billed Medicare for most in 2024: 1,368 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 460 | 407 | $17,221 | $2,147 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 273 | 170 | $5,917 | $1,818 | $1,752 |
| Level 4 Urology and Related ServicesAPC 5374 | 94 | 76 | $18,203 | $2,749 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 88 | 83 | $10,048 | $1,263 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 76 | 66 | $10,932 | $1,473 | $1,407 |
| Level 3 Urology and Related ServicesAPC 5373 | 61 | 57 | $10,447 | $1,580 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 52 | 50 | $49,083 | $11,374 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 51 | 49 | $31,769 | $4,081 | $3,918 |
| Level 2 Vascular ProceduresAPC 5182 | 39 | 38 | $11,487 | $1,214 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 33 | $12,443 | $2,334 | $2,373 |
See all 17 Medicare outpatient services at St. Anthonys Memorial Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at St. Anthonys Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,767 in 2020 to 1,944 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 62401 | 649 | 33% | 2,251 | $22.4M | 60% | 60% |
| 62448 | 156 | 8% | 528 | $5.3M | 50% | 50% |
| 62411 | 131 | 7% | 399 | $4.1M | 55% | 64% |
| 62467 | 106 | 5% | 400 | $3.8M | 68% | 61% |
| 62458 | 97 | 5% | 347 | $3.3M | 71% | 80% |
| 62424 | 62 | 3% | 244 | $2.3M | 82% | 100% |
| 62443 | 54 | 3% | 175 | $1.7M | 72% | 100% |
| 62838 | 51 | 3% | 190 | $1.9M | 80% | 100% |
| 62471 | 46 | 2% | 172 | $1.9M | 13% | 10% |
| 62858 | 42 | 2% | 144 | $1.6M | 34% | 32% |
| 62414 | 41 | 2% | 144 | $1.5M | 62% | 67% |
| 62426 | 38 | 2% | 120 | $1.2M | 100% | 70% |
| 62428 | 36 | 2% | 133 | $1.2M | 18% | 13% |
| 62461 | 33 | 2% | 134 | $1.2M | 67% | 100% |
| 62462 | 31 | 2% | 119 | $983,651 | 100% | 59% |
| 62463 | 31 | 2% | 79 | $787,352 | 69% | 36% |
| 62422 | 28 | 1% | 84 | $802,625 | 47% | 55% |
| 62473 | 28 | 1% | 89 | $1M | 100% | 80% |
| 62418 | 27 | 1% | 133 | $928,811 | 33% | 30% |
| 62479 | 26 | 1% | 80 | $808,742 | 100% | 100% |
| 62839 | 26 | 1% | 84 | $1M | 10% | 9% |
| 62447 | 23 | 1% | 62 | $585,256 | 15% | 23% |
| 62431 | 22 | 1% | 80 | $870,150 | 61% | 46% |
| 62445 | 22 | 1% | 53 | $568,300 | 65% | 100% |
| 62854 | 21 | 1% | 65 | $688,949 | 24% | 18% |
Source: CMS Hospital Service Area file. Shares are of the 1,944 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units St. Anthonys Memorial Hospital reported at its latest Medicare certification survey (2000). Counts are people, not full-time equivalents.
149
Registered nurses
23
Licensed practical nurses
6
Pharmacists
11
Respiratory therapists
4
Physical therapists
2
Occupational therapists
1
Speech pathologists and audiologists
2
Dietitians
343
Other personnel
Source: CMS Provider of Services file.
412 clinicians who bill Medicare list St. Anthonys Memorial Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Philip Dy, M.D.
Medical Oncology Physician
NPI 1710076567
See commercial rates for Philip Dy, M.D.Hanna Saba, MD
Hematology & Oncology Physician
NPI 1720070386
See commercial rates for Hanna Saba, MDWilliam Hearn, DO
Diagnostic Radiology Physician
NPI 1043259252
See commercial rates for William Hearn, DOAnthony Guarino, MD
Anesthesiology Physician
NPI 1619993847
See commercial rates for Anthony Guarino, MDSherry Reid, MD
Neurology Physician
NPI 1104835412
See commercial rates for Sherry Reid, MDMatthew Jones, M.D.
Diagnostic Radiology Physician
NPI 1528221058
See commercial rates for Matthew Jones, M.D.Magid Fahim, M.D.
Family Medicine Physician
NPI 1356548267
See commercial rates for Magid Fahim, M.D.Casey Duncan, MD
Radiation Oncology Physician
NPI 1487720942
See commercial rates for Casey Duncan, MDJoshua Garrett, MD
Diagnostic Radiology Physician
NPI 1508993387
See commercial rates for Joshua Garrett, MDAziz Ahmed, MD
Diagnostic Radiology Physician
NPI 1790976918
See commercial rates for Aziz Ahmed, MDKimberley Burgess, APN
Family Nurse Practitioner
NPI 1932120466
See commercial rates for Kimberley Burgess, APNDanxuan Long, MD
Pulmonary Disease Physician
NPI 1205098738
See commercial rates for Danxuan Long, MDBrian Miller, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1972685014
See commercial rates for Brian Miller, M.D.Constantine Katsamakis, DO
Cardiovascular Disease Physician
NPI 1407906100
See commercial rates for Constantine Katsamakis, DOMichael Lamonto, D.O.
Cardiovascular Disease Physician
NPI 1427164144
See commercial rates for Michael Lamonto, D.O.Abdur Rahman Fuzail Ahmad
Clinical Cardiac Electrophysiology Physician
NPI 1053727776
See commercial rates for Abdur Rahman Fuzail AhmadBharath Rajagopalan, M.B.,B.S
Clinical Cardiac Electrophysiology Physician
NPI 1700199445
See commercial rates for Bharath Rajagopalan, M.B.,B.SOmer Aker, MD
Diagnostic Radiology Physician
NPI 1205821543
See commercial rates for Omer Aker, MDArti Singh, M.D.
Cardiovascular Disease Physician
NPI 1982969960
See commercial rates for Arti Singh, M.D.Dean Collette, M.D.
Vascular & Interventional Radiology Physician
NPI 1437262540
See commercial rates for Dean Collette, M.D.Brian Atwood, M.D.
Family Medicine Physician
NPI 1235182809
See commercial rates for Brian Atwood, M.D.Batlagundu Lakshminarayanan, MD
Cardiovascular Disease Physician
NPI 1326060278
See commercial rates for Batlagundu Lakshminarayanan, MDManohar Kola, M.D.
Cardiovascular Disease Physician
NPI 1982786273
See commercial rates for Manohar Kola, M.D.Lana Schmidt, M.D.
Dermatology Physician
NPI 1245260082
See commercial rates for Lana Schmidt, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income St. Anthonys Memorial Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $495.1M | 289.6% |
| Inpatient | $101.5M | 59.4% |
| Outpatient | $393.6M | 230.2% |
| Contractual allowances and discounts | -$324.1M | -189.6% |
| Net patient revenue | $171M | 100.0% |
| Operating expenses | -$146M | -85.4% |
| Operating income from patient care | $25M | 14.6% |
| Other income | $25.9M | 15.2% |
| Investment income | $23.4M | 13.7% |
| Other | $2.5M | 1.5% |
| Other expenses | -$396,570 | -0.2% |
| Net income | $50.5M | 29.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $139.7M | 29.4% |
| Medicaid (including managed care) | $54.8M | 11.6% |
| Other payers and self-pay | $280M | 59.0% |
| Total charges | $474.5M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844404, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from St. Anthonys Memorial Hospital's latest cost report.
14.6%
Operating margin
Operating income from patient care / net patient revenue
25.6%
Total margin
Net income / net patient revenue plus other income
28.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
39% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$42.95
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
8.1%
Return on assets
Net income for a year / total assets
8.6%
Return on equity
Net income for a year / fund balance
0.03
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.41
Current ratio
Current assets / current liabilities
1.01
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
41 days
Days in patient receivables
Net patient receivables / daily net patient revenue
49 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.32
Asset turnover
Total revenue for a year / total assets
28.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844404, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St. Anthonys Memorial Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $622.1M in total assets and a $588.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | -$18,760 | -0.0% |
| Patient receivables, net | $19.1M | 3.1% |
| Inventory | $4M | 0.6% |
| Total current assets | $26.6M | 4.3% |
| Property and equipment, net of depreciation | $71.3M | 11.5% |
| Investments and other assets | $524.2M | 84.3% |
| Total assets | $622.1M | 100.0% |
| Current liabilities | $18.8M | 3.0% |
| Long-term debt | $15.2M | 2.4% |
| Total liabilities | $34M | 5.5% |
| Fund balance (net assets) | $588.1M | 94.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844404, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St. Anthonys Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.4M
Bad debt
Patient bills written off as uncollectible, at charges
$6.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$10.3M
Total unreimbursed and uncompensated care
7.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 844404, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St. Anthonys Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $133.8M | $147.7M | $154.8M | $163.4M | $162.8M | $171M |
| Operating expenses | $139.4M | $130.4M | $145.3M | $156.5M | $145.2M | $146M |
| Operating margin | -4.2% | 11.8% | 6.1% | 4.2% | 10.9% | 14.6% |
| Net income | $1.1M | $95.7M | -$13.4M | $36.3M | $40.1M | $50.5M |
| Total assets | $495.8M | $554.1M | $521.8M | $539.2M | $576M | $622.1M |
| Discharges | 3,835 | 3,266 | 3,189 | 3,492 | 3,254 | 3,403 |
| Inpatient days | 13,639 | 12,179 | 12,805 | 11,892 | 10,494 | 11,289 |
| Medicare Advantage days | 1,014 | 1,119 | 1,629 | 1,946 | 1,672 | 1,935 |
| Beds | 133 | 133 | 133 | 133 | 133 | 133 |
| Employees (FTE) | 526 | 353 | 375 | 376 | 356 | 335 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844404, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St. Anthonys Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Home health agency | $13M | $25.2M | $20.5M | 1.23 | 4,902 |
| Operating room | $3.4M | $9.3M | $45.9M | 0.20 | 31,160 |
| Drugs charged to patients | $8.7M | $48.5M | 0.18 | ||
| Medical supplies charged to patient | $8.6M | $5.5M | 1.57 | ||
| Radiology-diagnostic | $2.1M | $7M | $28.1M | 0.25 | 33,249 |
| Emergency | $2.6M | $5.8M | $41.6M | 0.14 | 13,563 |
| Laboratory | $1.1M | $4.6M | $46.8M | 0.10 | 5,244 |
| Physical therapy | $1.6M | $3.4M | $11.5M | 0.29 | 4,778 |
| Delivery room & labor room | $2.9M | $5M | 0.58 | 4,468 | |
| Observation beds (non-distinct part | $2.4M | $4.4M | 0.56 | ||
| Wound care | $512,058 | $1.7M | $4.9M | 0.34 | 3,457 |
| Impl. dev. charged to patients | $1.6M | $5.8M | 0.27 | ||
| Respiratory therapy | $673,550 | $1.6M | $2.8M | 0.56 | 730 |
| Ct scan | $632,131 | $1.6M | $85.8M | 0.02 | 1,401 |
| Electrocardiology | $456,630 | $1.2M | $18.2M | 0.07 | 4,035 |
| Occupational therapy | $486,719 | $961,614 | $5.9M | 0.16 | 2,419 |
| Nuclear medicine - diagnostic | $174,254 | $705,027 | $7.5M | 0.09 | 2,431 |
| Speech pathology | $379,920 | $672,635 | $1.9M | 0.35 | 803 |
| Mri | $268,066 | $656,345 | $21.8M | 0.03 | 1,669 |
| Ultra sound | $270,478 | $620,605 | $5.1M | 0.12 | 548 |
| Vascular lab | $200,945 | $421,812 | $3.7M | 0.11 | 983 |
| Clinic | $187,917 | $393,962 | $428,240 | 0.92 | 1,293 |
| Electroencephalography | $173,218 | $381,442 | $2.4M | 0.16 | 683 |
| Cardiac catheterization | $104,509 | $293,353 | $1.5M | 0.19 | 1,852 |
| Cardiac rehabilitation | $110,144 | $222,589 | $758,940 | 0.29 | 660 |
| Pet scan | $207,594 | $2.2M | 0.09 | ||
| Telemedicine | $74,623 | $83,577 | 0.89 | 917 | |
| Anesthesiology | $73,010 | $10.1M | 0.01 | 196 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $7.5M | $14.6M | $14.4M | 1.01 | 36,748 |
| Intensive care unit | $1.7M | $3.7M | $4.3M | 0.86 | 4,403 |
| Nursery | $477,571 | $437,106 | $2.2M | 0.20 | 797 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.9M | $23.6M | 48,429 | $40.41 | 102,543 |
| Employee benefits department | $513 | $12.4M | 12 | $42.75 | 699 |
| Cap rel costs-bldg & fixt | $3.6M | 354,336 | |||
| Operation of plant | $606,719 | $3.2M | 18,678 | $32.48 | 60,612 |
| Cap rel costs-mvble equip | $2.2M | ||||
| Pharmacy | $1.2M | $1.6M | 19,278 | $64.06 | 3,756 |
| Maintenance & repairs | -$2,890 | $1.4M | |||
| Housekeeping | $1.2M | ||||
| Cafeteria | $898,493 | 1,612 | |||
| Medical records & library | $179,906 | $882,578 | 2,000 | ||
| Dietary | -$9,200 | $507,490 | 5,708 | ||
| Laundry & linen service | $459,200 | 1,633 | |||
| Nursing administration | $518,328 | $366,140 | 1,421 | $53.32 | 3,142 |
| Social service | $236,214 | $296,849 | 5,449 | $43.35 | 2,008 |
| Central services & supply | $193,273 | $217,039 | 7,733 | $24.99 | 2,570 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844404, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays St. Anthonys Memorial Hospital for an inpatient stay.
1.36
Case mix index
Higher than 14% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
19.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,442
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.46 | 1.46 | 1.50 | 1.52 | 1.42 | 1.42 | 1.36 |
| Wage index | 0.915 | 0.942 | 0.934 | 0.976 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.66% | -0.84% | -1.86% | -0.30% | -0.85% | -0.76% | -0.44% |
| Value-based purchasing adjustment | +0.75% | +1.02% | +1.02% | -0.77% | +1.62% | +0.75% | +0.55% |
| Medicare inpatient stays | 2,216 | 2,216 | 1,485 | 1,323 | 1,394 | 1,348 | 1,442 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations St. Anthonys Memorial Hospital reports to Medicare as owners or with operational control.
Hospital Sisters Health System Inc
5% or greater direct ownership interest, 100%, since 1978
Sources: CMS Hospital All Owners.
The officers and board members on St. Anthonys Memorial Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 13 of 14 are shown.
St Anthony's Memorial Hospital of the Hospital Sisters of The Third Order o files the Form 990 for the tax ID insurers list for St. Anthonys Memorial Hospital, so these people may lead the wider organization rather than St. Anthonys Memorial Hospital alone.
| Name | Title |
|---|---|
| Patricia Allen | CFO - Care Delivery |
| Chad Markham | President/ceo |
| TODD Smart | Treasurer (until 5/3/24) |
| Paige Toth | Secretary (began 11/1/23) |
| Allie Weber | Chair |
| Lana Schmidt MD | Vice Chair |
| Michael Scialdone | Treasurer / Hshs SVP & CFO (began 01/08/24) |
Board members: Bob Schultz, Carrie Rodman, Eric Bloemer MD, Eric Zeller, Jean Anne Highland, Karen Whitt, Sr MARGUERITE COOK OSF.
Source: IRS Form 990 Part VII filed by St Anthony's Memorial Hospital of the Hospital Sisters of The Third Order o (EIN 37-0661233), via the IRS e-file data. A health system's return can cover several hospitals.
Helipad
St Anthony Meml Hospital
FAA location ID 11IS, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
St. anthonys memorial hospital hha
CCN 147661, certified 1997, Medicare prospective payment
St. anthony memorial hospital hospic
CCN 141658, certified 2014
Source: Worksheet S-2 Part I of St. Anthonys Memorial Hospital's latest Medicare cost report (HCRIS).
About St. Anthonys Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Anthonys Memorial Hospital range from $400 to $5,367 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $400. The median at nearby comparable hospitals is $3,096. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St. Anthonys Memorial Hospital range from $400 to $6,251 across 4 insurers. Aetna's rate is $552. The median at nearby comparable hospitals is $3,271. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at St. Anthonys Memorial Hospital range from $8,515 to $8,814 across 2 insurers. UnitedHealthcare's rate is $8,515. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Anthonys Memorial Hospital range from $83 to $478 across 4 insurers. Cigna's rate is $478. The median at nearby comparable hospitals is $256. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Anthonys Memorial Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at St. Anthonys Memorial Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Anthonys Memorial Hospital's base inpatient payments by an estimated 0.44% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (193 discharges), heart failure and shock with mcc (110 discharges), simple pneumonia and pleurisy with mcc (71 discharges).
St. Anthonys Memorial Hospital's Medicare case mix index is 1.36 for fiscal year 2027, higher than 14% of hospitals paid under the inpatient prospective payment system.
St. Anthonys Memorial Hospital reported 3,403 inpatient discharges and 11,289 inpatient days from Jul 1, 2024 to Jun 30, 2025.
St. Anthonys Memorial Hospital reported 335 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
St. Anthonys Memorial Hospital reported $171M in net patient revenue on $495.1M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 14.6%, and net income of $50.5M.
St. Anthonys Memorial Hospital reported $10.3M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $2.5M of charity care at cost.
St. Anthonys Memorial Hospital's Medicare enrollment lists Jeffery Sterling as Vice President- Managed Care since 2025.
Insurers' price transparency files list St. Anthonys Memorial Hospital under employer identification number 37-0661233 (St. Anthonys Memorial Hospital). 57 health plans and networks list 37-0661233 for it.
412 clinicians who bill Medicare list St. Anthonys Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (66), family medicine physician (37), internal medicine physician (26).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for St. Anthonys Memorial Hospital, effective 2026.
In its Medicare enrollment, St. Anthonys Memorial Hospital reports Hospital Sisters Health System Inc as 5% or greater direct ownership interest (100%).
CMS lists 25 services at St. Anthonys Memorial Hospital, including Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St. Anthonys Memorial Hospital came from ZIP codes 62401 (649), 62448 (156), 62411 (131).
St. Anthonys Memorial Hospital has 133 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 146 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St. Anthonys Memorial Hospital is located at 503 North Maple Street, Effingham, IL 62401. Its main phone number is (217) 342-2121.
St. Anthonys Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 140032.
The National Provider Identifier (NPI) on file for St. Anthonys Memorial Hospital is 1306800602.
St. Anthonys Memorial Hospital is affiliated with Hospital Sisters Health System.
St. Anthonys Memorial Hospital lists 39 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
264 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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