Hospital Sisters Health System · O Fallon, IL
4 of 5
CMS star rating
144
Beds
10,719
Inpatient discharges a year
$337M
Net patient revenue a year
41
In-network payers
St. Elizabeth Hospital is a 144-bed voluntary non-profit - church hospital in O Fallon, IL, affiliated with Hospital Sisters Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 463 disclosed rate categories.
The 24 services St. Elizabeth 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
MS-DRG 807
$6,477 - $9,456
from 4 insurers · median $7,550
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
Medicine & Surgery · Inpatient
MS-DRG 460
$34,041 - $55,594
from 3 insurers · median $40,790
45 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 788
$8,661 - $12,805
from 4 insurers · median $9,654
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
Cardiology and vascular testing
CPT 93306
$348 - $3,891
from 4 insurers · median $2,598
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$440 - $2,590
from 4 insurers · median $866
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$134 - $1,070
from 4 insurers · median $852
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,794 - $7,097
from 2 insurers · median $4,946
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,794 - $6,588
from 2 insurers · median $4,691
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,794 - $3,977
from 2 insurers · median $3,386
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$180 - $935
from 4 insurers · median $344
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,794 - $6,588
from 2 insurers · median $4,691
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$100,121 - $145,356
from 4 insurers · median $110,117
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 66984
$3,791 - $8,036
from 2 insurers · median $5,913
Typical for a hospital with this service line
CT imaging
CPT 71250
$86 - $1,155
from 4 insurers · median $1,046
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$394 - $4,978
from 4 insurers · median $1,334
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$208 - $1,334
from 4 insurers · median $654
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,605 - $7,123
from 2 insurers · median $6,864
51 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$20,541 - $28,635
from 3 insurers · median $22,511
12 Medicare discharges for this DRG in CMS hospital data
Urology
CPT 50590
$3,754 - $13,471
from 4 insurers · median $7,320
133 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Ear, nose and throat
CPT 69436
$2,794 - $7,733
from 2 insurers · median $5,264
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$6,477 - $9,456
from 4 insurers · median $7,550
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
MRI imaging
CPT 72148
$296 - $2,679
from 4 insurers · median $1,197
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$194 - $1,224
from 4 insurers · median $691
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$619 - $3,839
from 4 insurers · median $1,325
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* | 16 | 727% | 9 | 4 |
| Insurer B* | 24 | 301% | 20 | 0 |
| Insurer C* | 16 | 274% | 4 | 9 |
| Insurer D* | 24 | 153% | 10 | 10 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 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. Elizabeth Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Teaching hospital
Finances
$337M net patient revenue
Ownership and leadership
Owned by Hospital Sisters Services Inc
The employer identification numbers (EINs) health plans and networks list for St. Elizabeth 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 |
|---|---|---|
| 37-0663567St Elizabeths Hospital Of The Hospital | 61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 56 more | 1629057302 St Elizabeths Hospital Of The Hospital Sisters Of The Third Order1144729716 St Elizabeths Hospital Of The Hospital Sisters Of The Third Order1225548753 St Elizabeths Hospital Of The Hospital Sisters Of The Third Orderand 17 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.
One St. Elizabeth's Boulevard, O Fallon, IL 62269
(618) 234-2120
How St. Elizabeth Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 7 measures
2 better, 5 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 11 measures
1 better, 8 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
79%
Higher than 75% 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)
0.97
Higher than 53% 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
162 min
Higher 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
66%
Higher than 50% 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 | 4 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 2 of 7 measures | |
| Readmissions | Worse on 2 of 11 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 | 79% | 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) | 0.97 | 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 | 162 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 66% | 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. Elizabeth Hospital's inpatient payments for its readmissions, quality and cost results.
-0.16% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.05% 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. Elizabeth 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 | St. Elizabeth Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 29 cases | 3.8 | 4.1 | 4.202 | Better than 62% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 3,070 cases | 3.9 | 3.9 | 4.052 | Better than 49% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 235 cases | 12.8 | 11.8 | 11.78 | Worse than 80% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 51 cases | 3.8 | 2.3 | 2.39 | Worse than 94% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 85 cases | 10.6 | 8.5 | 8.223 | Worse than 90% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 543 cases | 11 | 11 | 10.49 | Worse than 49% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 384 cases | 13.5 | 15.2 | 15.41 | Better than 75% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 208 cases | 14.2 | 11.6 | 11.77 | Worse than 83% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 4,563 cases | 0.55 | 0.51 | 0.5668 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 58 cases | 169 | 173 | 173 | No Different Than the National Rate | Better than 56% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 5,731 cases | 0.2 | 0.2 | 0.2122 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 5,811 cases | 0.29 | 0.27 | 0.2728 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,300 cases | 2.81 | 2.29 | 2.301 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 530 cases | 1.6 | 1.63 | 1.67 | No Different Than the National Rate | Better than 61% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 543 cases | 12.27 | 8.88 | 9.531 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,378 cases | 3.12 | 3.4 | 3.714 | No Different Than the National Rate | Better than 74% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 543 cases | 3.7 | 5.105 | 5.152 | No Different Than the National Rate | Better than 96% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 288 cases | 1.59 | 1.72 | 1.741 | No Different Than the National Rate | Better than 88% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 915 cases | 0.83 | 1.02 | 1.045 | No Different Than the National Rate | Better than 91% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | St. Elizabeth Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 255 cases | 14.6 | 4.2 | 11.54 | Worse than 67% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 647 cases | 22.6 | 1.25 | 8.216 | Worse than 77% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 394 cases | 3.5 | 3.85 | 13.94 | Better than 50% 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 · 1,179 cases | 12.1 | 12.9 | 12.97 | No Different Than the National Rate | Better than 89% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 32 cases | 9.8 | 10.7 | 11.17 | No Different Than the National Rate | Better than 78% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 32 cases | 5.1 | 5.3 | 5.176 | No Different Than the National Rate | Better than 62% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 714 cases | 0.9 | 1 | 1.016 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 408 cases | 12.7 | 14.4 | 14.43 | Better than 98% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 76 cases | 12.1 | 10.9 | 11.3 | Worse than 77% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 185 cases | 18.7 | 19.8 | 20.07 | Better than 91% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,002 cases | 22.5 | 21.3 | 21.51 | Worse than 83% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 34 cases | 6.3 | 5.8 | 5.976 | Worse than 76% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 606 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 | St. Elizabeth 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 | 0.01 | 0.172 | 0.315 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.978 | 1.504 | 2.097 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,593 | 1,370 | 4,356 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 5.042 | 0.9835 | 4.318 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.961 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.198 | 0.484 | 0.7494 | Better than the National Benchmark | Better than 74% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.137 | 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 | 1.467 | 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 | 5,523 | 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 | 5.567 | 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 | 3 | 0 | 2.56 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.539 | 0.399 | 0.5759 | No Different than National Benchmark | Worse than 64% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.4 | 0.2345 | 0.3411 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 3.04 | 2.135 | 2.549 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 119 | 61 | 96.21 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 3.174 | 1.591 | 2.6 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 4 | 1 | 2.339 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.26 | 0.7155 | 0.9044 | No Different than National Benchmark | Worse than 78% of US hospitals |
| 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 | 44 | 38 | 84.23 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.354 | 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 | 0.132 | 0.193 | 0.1945 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.6 | 1.855 | 2.01 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 52,928 | 14,451 | 38,381 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.541 | 0.567 | 2.311 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 1.305 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.787 | 0.597 | 0.5504 | No Different than National Benchmark | Worse than 66% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.152 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.573 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 51,466 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 28.84 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 9 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.312 | 0.279 | 0.4067 | Better than the National Benchmark | Worse than 54% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | St. Elizabeth Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 549 cases | 59 | 73 | 72.75 | Worse than 95% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 549 cases | 22 | 8 | 9.158 | Worse than 99% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 549 cases | 19 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 549 cases | 76 | 87 | 85.64 | Worse than 98% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 549 cases | 1 | 4 | 3.195 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 549 cases | 82 | 80 | 79.29 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 549 cases | 93 | 91 | 90.92 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 549 cases | 4 | 4 | 4.576 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 549 cases | 4 | 3 | 3.305 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 549 cases | 14 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 549 cases | 81 | 79 | 78.82 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 549 cases | 92 | 91 | 90.1 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 549 cases | 4 | 5 | 5.823 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 549 cases | 4 | 3 | 2.89 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 549 cases | 15 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 549 cases | 65 | 61 | 61.18 | Better than 68% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 549 cases | 79 | 77 | 76.11 | Better than 65% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 549 cases | 18 | 19 | 19.8 | Better than 57% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 549 cases | 3 | 3 | 2.559 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 549 cases | 17 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 549 cases | 88 | 86 | 85.26 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 549 cases | 12 | 13 | 13.92 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 549 cases | 4 | 3 | 3.237 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 549 cases | 88 | 87 | 86.08 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 549 cases | 13 | 14 | 14.8 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 549 cases | 87 | 86 | 85.2 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 549 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 · 549 cases | 7 | 7 | 7.369 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 549 cases | 15 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 549 cases | 81 | 77 | 76.95 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 549 cases | 4 | 6 | 6.199 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 549 cases | 15 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 549 cases | 85 | 85 | 84.2 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 549 cases | 3 | 3 | 3.979 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 549 cases | 12 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 549 cases | 6 | 8 | 8.937 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 549 cases | 17 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 549 cases | 77 | 72 | 70.19 | Better than 70% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 549 cases | 90 | 88 | 87.19 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 549 cases | 4 | 3 | 3.136 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 549 cases | 74 | 74 | 73.94 | Worse than 48% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 549 cases | 8 | 9 | 9.858 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 549 cases | 18 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 549 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 · 549 cases | 5 | 5 | 5.915 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 549 cases | 17 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 549 cases | 80 | 77 | 76.32 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 549 cases | 4 | 4 | 4.894 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 549 cases | 16 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 549 cases | 87 | 86 | 84.9 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 549 cases | 2 | 3 | 3.085 | Better than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 549 cases | 11 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 549 cases | 67 | 59 | 59.03 | Better than 75% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 549 cases | 5 | 9 | 10.03 | Better than 77% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 549 cases | 28 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 549 cases | 87 | 82 | 81.16 | Better than 85% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 549 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 · 549 cases | 4 | 5 | 6.753 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 549 cases | 79 | 71 | 68.65 | Better than 75% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 549 cases | 91 | 87 | 85.89 | Better than 76% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 549 cases | 17 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 549 cases | 5 | 4 | 3.458 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 549 cases | 55 | 47 | 46.95 | Better than 81% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 549 cases | 27 | 30 | 30.69 | Better than 65% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 549 cases | 18 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 549 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 · 549 cases | 11 | 12 | 13.09 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 549 cases | 89 | 88 | 86.91 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | St. Elizabeth Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| 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 · 16,178 cases | 8 | 8 | 8.656 | Better than 47% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 2,777 cases | 2 | 1 | 1.114 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 6,927 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 · 2,007 cases | 75 | 79 | 83.65 | Worse than 57% 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 · 374 cases | 164 | 154 | 183 | Worse than 57% 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 · 359 cases | 162 | 148 | 175 | Worse 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 · 11 cases | 220 | 247 | 304 | Better than 61% 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 | Not Available | 315 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 46,753 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 | 71 | 74 | 78.84 | Worse than 55% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 342 cases | 97 | 97 | 94.09 | Better than 46% 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 · 51 cases | 0 | 53 | 40.38 | The worst result, shared by 11% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 3,052 cases | 21 | 15 | 15.81 | Worse than 88% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 292 cases | 66 | 65 | 62.57 | Better than 50% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 69 cases | 81 | 73 | 71.03 | Better than 68% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 45 cases | 98 | 88 | 85.26 | Better than 86% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 293 cases | 73 | 82 | 79.02 | Worse than 78% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 142 cases | 96 | 94 | 92.05 | Better than 60% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 167 cases | 96 | 98 | 97 | Worse than 66% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 · 45 cases | 62 | 75 | 75.87 | Worse than 84% of US hospitals | |
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 157 cases | 91 | 94 | 94.02 | Worse than 72% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 6,040 cases | 90 | 90 | 81.77 | Better than 49% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,177 cases | 99 | 97 | 94.61 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | St. Elizabeth Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.5 | 5 | 6.493 | Worse than 55% 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 | St. Elizabeth 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 | 1 | 0.99 | 0.9996 | Worse than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | St. Elizabeth Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 6.667 | 20 | 28.09 | Worse than 79% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.667 | 5 | 7.071 | Worse than 79% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 13.71 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 3.521 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 57 | 34 | 34.29 | Better than 83% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 14.25 | 8.75 | 8.88 | Better than 81% of US hospitals | |
| VBP safety domain scoreFY 2026 | 55 | 40 | 36.66 | Better than 74% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 13.75 | 10 | 9.377 | Better than 73% of US hospitals | |
| VBP total performance scoreFY 2026 | 29.67 | 29.5 | 28.2 | Better than 51% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 60 | 56.67 | 56 | 36.67 | 13.33 | 6.667 |
| VBP clinical outcomes weighted domain score | 15 | 14.17 | 14 | 9.167 | 3.333 | 1.667 |
| VBP efficiency and cost reduction domain score | 10 | Not Available | 20 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 2.5 | Not Available | 5 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 50 | Not Available | Not Available | 34 | 41 | 57 |
| VBP person and community engagement weighted domain score | 12.5 | Not Available | Not Available | 8.5 | 10.25 | 14.25 |
| VBP safety domain score | 52 | Not Available | Not Available | 28 | 80 | 55 |
| VBP safety weighted domain score | 13 | Not Available | Not Available | 7 | 20 | 13.75 |
| VBP total performance score | 43 | Not Available | Not Available | 24.67 | 33.58 | 29.67 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | St. Elizabeth Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 253 cases | 1.003 | 0.9995 | 1.015 | Worse than 53% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 1.073 | 1 | 1.026 | Worse than 78% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 86 cases | 1.015 | 0.9969 | 1.009 | Worse than 65% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 562 cases | 0.9987 | 0.9983 | 1.013 | Worse than 50% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.049 | 0.9916 | 1.055 | Worse than 66% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 332 cases | 0.9297 | 0.9955 | 1.018 | Better than 88% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.055 | 1.002 | 1.009 | 1.002 | 1.037 | 1.003 |
| READM-30-CABG-HRRP | 0.8422 | 0.8748 | 0.9409 | 1.02 | 1.01 | 1.073 |
| READM-30-COPD-HRRP | 0.9641 | 1.028 | 1.009 | 1.015 | 1.026 | 1.015 |
| READM-30-HF-HRRP | 0.9756 | 1.014 | 0.9776 | 1.058 | 0.9774 | 0.9987 |
| READM-30-HIP-KNEE-HRRP | 1.176 | 1.329 | 1.447 | 1.347 | 1.284 | 1.049 |
| READM-30-PN-HRRP | 0.9961 | 0.9719 | 0.9912 | 0.9489 | 0.9036 | 0.9297 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | St. Elizabeth Hospital | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.248 | 0.489 | 0.5958 | Better than 74% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.163 | 0.346 | 0.436 | Better than 78% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.093 | 0.559 | 0.7638 | Better than 86% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.43 | 0.6405 | 0.6364 | Better than 69% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9684 | 0.9628 | 0.9883 | Worse than 53% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.136 | 0.7945 | 0.9041 | Better than 87% of US hospitals | |
| Total HAC scoreFY 2026 | -0.7775 | -0.0453 | 0.07842 | Better than 90% 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 | -0.6074 | -0.2188 | 0 | -0.0371 | -0.5083 | -0.7775 |
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.
Not accredited (since 2023)
Accreditation
Limited
Medical school affiliation
Church
Ownership type
260
Medicare-certified beds
39
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. Elizabeth Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
10,719
Inpatient discharges
Medicare 29%, Medicaid 3%
45,073
Inpatient days
86% of available bed days used
932
Employees (full-time equivalent)
14
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 844431). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges St. Elizabeth Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 13,965 | 1,166 | 29,942 | 45,073 |
| Discharges | 3,114 | 335 | 7,270 | 10,719 |
| Average length of stay | 4.5 days | 3.5 days | 4.1 days | 4.2 days |
| Average daily census | 38.3 | 3.2 | 82.0 | 123.5 |
16,226
Medicare Advantage days
3,303 discharges
5,074
Medicaid managed care days
1,468 discharges
5,782
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 124 | 37,713 | 12,756 | 83% |
| Intensive care unit | 20 | 5,905 | 1,209 | 81% |
| Nursery | 1,455 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844431, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What St. Elizabeth Hospital treats Medicare patients for most often, in 2024. 2,225 Medicare discharges in 66 published DRGs; 23% surgical; 69% 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 | 297 | $63,231 | $12,669 | $13,405 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 231 | $48,049 | $8,668 | $10,186 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 94 | $36,097 | $6,308 | $7,652 | 1.03 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 90 | $112,718 | $22,618 | $23,896 | 3.24 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 59 | $51,690 | $7,931 | $10,958 | 1.23 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 55 | $155,458 | $34,248 | $32,957 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 52 | $59,130 | $10,582 | $12,536 | 1.59 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 48 | $49,116 | $10,587 | $10,413 | 1.65 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 46 | $129,527 | $30,641 | $27,460 | 5.00 |
| Cellulitis without MCCMS-DRG 603, medical | 43 | $34,420 | $5,477 | $7,297 | 0.88 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 41 | $44,866 | $6,312 | $9,512 | 1.02 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $45,318 | $9,101 | $9,607 | 1.33 |
| Renal failure with CCMS-DRG 683, medical | 41 | $32,194 | $5,624 | $6,825 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $52,388 | $9,985 | $11,106 | 1.50 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $59,995 | $10,573 | $12,719 | 1.70 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 35 | $32,028 | $4,908 | $6,790 | 0.79 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 34 | $35,771 | $4,943 | $7,584 | 0.90 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $36,835 | $6,612 | $7,809 | 0.98 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $26,047 | $4,356 | $5,522 | 0.74 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $31,025 | $5,022 | $6,577 | 0.81 |
See all 66 Medicare inpatient DRGs at St. Elizabeth 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. Elizabeth Hospital billed Medicare for most in 2024: 2,589 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 435 | 405 | $23,522 | $1,963 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 234 | 230 | $16,507 | $2,128 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 155 | 147 | $11,204 | $1,154 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 151 | 150 | $127,096 | $20,259 | $21,117 |
| Level 4 Urology and Related ServicesAPC 5374 | 133 | 111 | $21,901 | $2,493 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 125 | 120 | $53,522 | $10,430 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 115 | 87 | $11,501 | $1,397 | $1,407 |
| Level 5 Urology and Related ServicesAPC 5375 | 108 | 100 | $25,863 | $3,739 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 101 | 85 | $15,078 | $1,396 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 88 | 83 | $12,695 | $1,114 | $1,196 |
See all 34 Medicare outpatient services at St. Elizabeth 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. Elizabeth 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 4,589 in 2020 to 6,414 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 62269 | 798 | 12% | 3,188 | $48.6M | 40% | 35% |
| 62221 | 502 | 8% | 2,198 | $31.4M | 33% | 33% |
| 62226 | 409 | 6% | 1,980 | $28.5M | 18% | 18% |
| 62208 | 343 | 5% | 1,634 | $22.9M | 31% | 32% |
| 62220 | 278 | 4% | 1,261 | $19.7M | 23% | 26% |
| 62234 | 254 | 4% | 1,195 | $17.3M | 14% | 10% |
| 62258 | 238 | 4% | 1,144 | $15.8M | 46% | 47% |
| 62249 | 237 | 4% | 952 | $18.1M | 27% | 29% |
| 62223 | 198 | 3% | 927 | $13.2M | 16% | 11% |
| 62254 | 173 | 3% | 739 | $11.9M | 49% | 55% |
| 62232 | 160 | 2% | 698 | $9.8M | 30% | 16% |
| 62231 | 143 | 2% | 593 | $10.3M | 34% | 36% |
| 62293 | 136 | 2% | 624 | $9.6M | 51% | 44% |
| 62230 | 135 | 2% | 650 | $11.5M | 37% | 41% |
| 62246 | 128 | 2% | 575 | $8.8M | 27% | 25% |
| 62243 | 121 | 2% | 474 | $7.7M | 40% | 38% |
| 62203 | 120 | 2% | 597 | $7.1M | 22% | 16% |
| 62265 | 118 | 2% | 552 | $7.4M | 48% | 59% |
| 62205 | 112 | 2% | 620 | $7.3M | 17% | 13% |
| 62040 | 82 | 1% | 374 | $5.5M | 3% | 2% |
| 62206 | 82 | 1% | 397 | $5.4M | 10% | 13% |
| 62285 | 81 | 1% | 345 | $4.9M | 32% | 32% |
| 62257 | 73 | 1% | 273 | $4.2M | 43% | 41% |
| 62264 | 70 | 1% | 314 | $4.8M | 38% | 30% |
| 62207 | 69 | 1% | 443 | $4.9M | 14% | 11% |
Source: CMS Hospital Service Area file. Shares are of the 6,414 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. Elizabeth Hospital reported at its latest Medicare certification survey (2009). Counts are people, not full-time equivalents.
26
Psychiatric unit beds
40
Rehabilitation unit beds
6
Off-site locations
6
Off-site emergency departments
39
Registered nurses
2
Physicians
5
Nurse practitioners
1
Physician assistants
1
Nurse anesthetists (CRNAs)
1
Respiratory therapists
1
Physical therapists
10
Occupational therapists
1
Speech pathologists and audiologists
1
Radiology technicians
1
Nuclear medicine technicians
1
Laboratory technicians
3
Dietitians
8
Social workers
100
Other personnel
Source: CMS Provider of Services file.
597 clinicians who bill Medicare list St. Elizabeth 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.
Gibran Mahmud, M.D.
Hematology & Oncology Physician
NPI 1518132489
See commercial rates for Gibran Mahmud, M.D.Bassam Maalouf, M.D.
Hematology & Oncology Physician
NPI 1720173438
See commercial rates for Bassam Maalouf, M.D.Mark Walshauser, M.D.
Hematology & Oncology Physician
NPI 1306020664
See commercial rates for Mark Walshauser, M.D.Bachir Farah, M.D.
Hematology & Oncology Physician
NPI 1336370915
See commercial rates for Bachir Farah, M.D.Justin Floyd, DO
Medical Oncology Physician
NPI 1629164678
See commercial rates for Justin Floyd, DOTravis Bullock, MD
Urology Physician
NPI 1699810507
See commercial rates for Travis Bullock, MDRaghav Govindarajan, MD
Neuromuscular Medicine (Psychiatry & Neurology) Physician
NPI 1639481914
See commercial rates for Raghav Govindarajan, MDWilliam Hearn, DO
Diagnostic Radiology Physician
NPI 1043259252
See commercial rates for William Hearn, DOErin Doser, AGNP-C
Adult Health Nurse Practitioner
NPI 1588019715
See commercial rates for Erin Doser, AGNP-CMichael Friedman, MD
Diagnostic Radiology Physician
NPI 1871742924
See commercial rates for Michael Friedman, MDAlyssa Martz
Family Nurse Practitioner
NPI 1043757867
See commercial rates for Alyssa MartzNaheed Bashir, M.D.
Pain Medicine Physician
NPI 1245355916
See commercial rates for Naheed Bashir, M.D.Seth Strope, MD
Urology Physician
NPI 1427109248
See commercial rates for Seth Strope, MDRichard Derby, MD
Sports Medicine (Family Medicine) Physician
NPI 1295720845
See commercial rates for Richard Derby, MDJames Taylor, DPM
Podiatrist
NPI 1659449965
See commercial rates for James Taylor, DPMJames Rybak, M.D.
Urology Physician
NPI 1801042700
See commercial rates for James Rybak, M.D.Jacob Witt, M.D.
Radiation Oncology Physician
NPI 1891157871
See commercial rates for Jacob Witt, M.D.Jacob Ark, M.D.
Urology Physician
NPI 1891053716
See commercial rates for Jacob Ark, M.D.Tiffany Dube, M.D. PH.D..
Diagnostic Radiology Physician
NPI 1225285950
See commercial rates for Tiffany Dube, M.D. PH.D..Jonathan Locke, MD
Diagnostic Radiology Physician
NPI 1982650990
See commercial rates for Jonathan Locke, MDGregory Auffenberg, M.D., M.S.
Urology Physician
NPI 1396977328
See commercial rates for Gregory Auffenberg, M.D., M.S.Samantha Lancaster, MD
Diagnostic Radiology Physician
NPI 1497914691
See commercial rates for Samantha Lancaster, MDLouis Aliperti, M.D.
Urology Physician
NPI 1861810350
See commercial rates for Louis Aliperti, M.D.Omer Aker, MD
Diagnostic Radiology Physician
NPI 1205821543
See commercial rates for Omer Aker, MDSource: 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. Elizabeth 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) | $1.6B | 465.8% |
| Inpatient | $666.6M | 197.8% |
| Outpatient | $902.9M | 268.0% |
| Contractual allowances and discounts | -$1.2B | -365.8% |
| Net patient revenue | $337M | 100.0% |
| Operating expenses | -$315.2M | -93.6% |
| Operating income from patient care | $21.7M | 6.4% |
| Other income | $1.5M | 0.5% |
| Investment income | $1M | 0.3% |
| Other | $531,052 | 0.2% |
| Other expenses | -$846,848 | -0.3% |
| Net income | $22.4M | 6.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $366.5M | 23.7% |
| Medicaid (including managed care) | $144.6M | 9.3% |
| Other payers and self-pay | $1B | 67.0% |
| Total charges | $1.5B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844431, 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. Elizabeth Hospital's latest cost report.
6.4%
Operating margin
Operating income from patient care / net patient revenue
6.6%
Total margin
Net income / net patient revenue plus other income
11.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
36% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.73
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
7.5%
Return on assets
Net income for a year / total assets
0.59
Current ratio
Current assets / current liabilities
0.39
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
47 days
Days in patient receivables
Net patient receivables / daily net patient revenue
135 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.13
Asset turnover
Total revenue for a year / total assets
9.6 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 844431, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What St. Elizabeth Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $300.4M in total assets and a -$388.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $9,899 | 0.0% |
| Patient receivables, net | $43.2M | 14.4% |
| Inventory | $5.9M | 2.0% |
| Total current assets | $65.2M | 21.7% |
| Property and equipment, net of depreciation | $192.5M | 64.1% |
| Investments and other assets | $42.7M | 14.2% |
| Total assets | $300.4M | 100.0% |
| Current liabilities | $111.2M | 37.0% |
| Long-term debt | $57M | 19.0% |
| Total liabilities | $688.6M | 229.2% |
| Fund balance (net assets) | -$388.2M | -129.2% |
Source: CMS cost report (HCRIS, Form 2552-10), report 844431, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care St. Elizabeth Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$15.1M
Bad debt
Patient bills written off as uncollectible, at charges
$7.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$13.6M
Total unreimbursed and uncompensated care
4.3% 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 844431, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
St. Elizabeth 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 | $222.4M | $256.6M | $284.8M | $296.2M | $305.2M | $337M |
| Operating expenses | $261.5M | $254.5M | $285.4M | $305.8M | $305.2M | $315.2M |
| Operating margin | -17.6% | 0.8% | -0.2% | -3.2% | 0.0% | 6.4% |
| Net income | -$28.8M | $2.8M | $4.1M | -$6.6M | $1.6M | $22.4M |
| Total assets | $369.1M | $355.3M | $322.7M | $313.6M | $316M | $300.4M |
| Discharges | 9,121 | 8,920 | 9,002 | 9,921 | 10,215 | 10,719 |
| Inpatient days | 38,855 | 41,747 | 42,396 | 45,412 | 45,894 | 45,073 |
| Medicare Advantage days | 7,899 | 10,099 | 11,921 | 14,447 | 15,150 | 16,226 |
| Beds | 144 | 144 | 144 | 144 | 144 | 144 |
| Employees (FTE) | 944 | 826 | 983 | 1,005 | 878 | 932 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844431, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center St. Elizabeth 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 |
|---|---|---|---|---|---|
| Medical supplies charged to patient | $50.9M | $70.3M | 0.72 | 4,124 | |
| Operating room | $9.5M | $25.9M | $145.9M | 0.18 | 47,954 |
| Impl. dev. charged to patients | $22.2M | $79.4M | 0.28 | ||
| Emergency | $7.7M | $15.6M | $147.9M | 0.11 | 17,538 |
| Drugs charged to patients | $13.1M | $73.3M | 0.18 | 2,929 | |
| Radiology-diagnostic | $3.6M | $11.8M | $117M | 0.10 | 8,976 |
| Cardiac catheterization | $4.1M | $10.4M | $169.3M | 0.06 | 12,094 |
| Laboratory | $3.3M | $10.3M | $144.8M | 0.07 | 1,016 |
| Observation beds (non-distinct part | $7.5M | $21.4M | 0.35 | ||
| Physical therapy | $67,142 | $5.9M | $30M | 0.20 | |
| Radioisotope | $943,625 | $4.5M | $32M | 0.14 | 1,766 |
| Electrocardiology | $947,324 | $3.4M | $85.4M | 0.04 | 3,765 |
| Respiratory therapy | $1.5M | $3.1M | $31.4M | 0.10 | 1,806 |
| Ct scan | $995,154 | $3M | $115M | 0.03 | 968 |
| Recovery room | $1.1M | $2.2M | $16M | 0.14 | 2,977 |
| Clinic | $644,926 | $1.8M | $20.4M | 0.09 | |
| Delivery room & labor room | $386,691 | $1.7M | $4.1M | 0.43 | |
| Other op | $814,743 | $1.6M | $9.5M | 0.17 | |
| Pain management | $671,448 | $1.4M | $28M | 0.05 | |
| Renal dialysis | $1.3M | $7.6M | 0.17 | ||
| Vascular lab | $451,914 | $1.1M | $11.6M | 0.09 | 878 |
| Intravenous therapy | $7,548 | $973,237 | $5.5M | 0.18 | |
| Occupational therapy | $107,560 | $932,599 | $5.6M | 0.17 | |
| Anesthesiology | $581,324 | $48.7M | 0.01 | 365 | |
| Cardiac rehabilitation | $274,289 | $461,467 | $1.6M | 0.29 | |
| Speech pathology | $1,298 | $450,205 | $2.2M | 0.21 | |
| Sleep lab | $152,652 | $273,723 | $1.3M | 0.21 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $25.4M | $56.5M | $96.2M | 0.59 | 91,183 |
| Intensive care unit | $5.6M | $10.7M | $24.5M | 0.44 | 10,322 |
| Nursery | $276,798 | $2M | $2.9M | 0.68 | 1,496 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Other administrative & general | $4.1M | $30.3M | 51,769 | ||
| Data processing | $14.8M | 2,300 | |||
| Employee benefits department | $9,838 | $14.7M | 190 | $51.68 | |
| Cap rel costs-bldg & fixt | $8.5M | 312,225 | |||
| Cashiering/accounts receivable | $7.7M | ||||
| Cap rel costs-mvble equip | $7.1M | ||||
| Maintenance & repairs | $7,724 | $4.9M | 167 | $46.25 | 264 |
| Operation of plant | $1.2M | $4.8M | 38,992 | $31.44 | 30,963 |
| Pharmacy | $2.9M | $3.1M | 56,561 | $50.71 | |
| Housekeeping | $124 | $2.7M | 2 | $62.00 | 1,463 |
| Medical records & library | $2.3M | ||||
| Social service | $1.7M | $1.9M | 35,518 | $47.95 | 834 |
| Cafeteria | $1.7M | 7 | $25.07 | ||
| I&r services-other prgm costs apprv | $1.6M | ||||
| I&r services-salary & fringes apprv | $1.5M | ||||
| Dietary | $308 | $1.4M | 5 | $25.23 | 11,278 |
| Laundry & linen service | $79,639 | $1.3M | 4,051 | $19.66 | 1,285 |
| Nursing administration | $1.1M | $1.1M | 22,558 | $18.70 | |
| Purchasing receiving and stores | $612,413 | $986,206 | |||
| Admitting | $929,570 | 813 | |||
| Pharmacy paramed ed prgm | $404,653 | $423,938 | 273 | ||
| Nonpatient telephones | $283,294 | $283,856 | 101 | ||
| Central services & supply | $61,335 |
Source: CMS cost report (HCRIS, Form 2552-10), report 844431, 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. Elizabeth Hospital for an inpatient stay.
1.97
Case mix index
Higher than 76% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.09 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
17.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
3,201
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
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 | 1.87 | 1.87 | 1.99 | 1.97 | 1.88 | 1.90 | 1.97 |
| Wage index | 0.915 | 0.942 | 0.934 | 0.976 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.24% | -0.46% | -0.50% | -0.50% | -0.54% | -0.31% | -0.16% |
| Value-based purchasing adjustment | +1.09% | +0.76% | +0.76% | -0.13% | +0.34% | +1.01% | +0.05% |
| Medicare inpatient stays | 3,464 | 3,464 | 2,874 | 2,705 | 2,910 | 3,019 | 3,201 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations St. Elizabeth Hospital reports to Medicare as owners or with operational control.
Hospital Sisters Services Inc
Operational/managerial control, since 2008
Sources: CMS Hospital All Owners.
The officers and board members on St. Elizabeth 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 14 of 15 are shown.
St Elizabeth's Hospital of the Hospital Sisters of the Third Order of St Fr files the Form 990 for the tax ID insurers list for St. Elizabeth Hospital, so these people may lead the wider organization rather than St. Elizabeth Hospital alone.
| Name | Title |
|---|---|
| Patricia Allen | CFO - Care Delivery |
| Chris Klay | President/ceo |
| TODD Smart | Treasurer (until 5/3/24) |
| Paige Toth | Secretary (began 11/1/23) |
| Brian Lemon | Chair |
| Kevin Meder | Vice Chair |
| Lorraine Cavataio | Vice Chair (until 3/15/24) |
| Thomas Dinges | Chair (until 10/31/23) |
| Michael Scialdone | Treasurer / Hshs SVP & CFO (began 01/08/24) |
Board members: Ann Mccollum, Barbara Cempura, Georgia Costello PhD, Michael Hall, Sarah Gass, Scott Crouch MD, Sr MARGUERITE COOK OSF.
Source: IRS Form 990 Part VII filed by St Elizabeth's Hospital of the Hospital Sisters of the Third Order of St Fr (EIN 37-0663567), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH140187, registered as a disproportionate share hospital. Authorizing official: Peggy A. Sebastian, CEO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Belleville hha
CCN 147506, certified 1991, Medicare not participating
Source: Worksheet S-2 Part I of St. Elizabeth Hospital's latest Medicare cost report (HCRIS).
About St. Elizabeth Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Elizabeth Hospital range from $394 to $4,978 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $4,978. The median at nearby comparable hospitals is $628. 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. Elizabeth Hospital range from $440 to $2,590 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $2,590. The median at nearby comparable hospitals is $618. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St. Elizabeth Hospital range from $2,794 to $7,097 across 2 insurers. UnitedHealthcare's rate is $2,794. The median at nearby comparable hospitals is $2,279. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Elizabeth Hospital range from $6,477 to $9,456 across 4 insurers. Cigna's rate is $6,477. 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. Elizabeth Hospital range from $180 to $935 across 4 insurers. Cigna's rate is $260. The median at nearby comparable hospitals is $165. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St. Elizabeth Hospital range from $20,541 to $28,635 across 3 insurers. Aetna's rate is $28,635. The median at nearby comparable hospitals is $23,407. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Elizabeth 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.
Yes. CMS counts 0.09 Medicare-funded residents per bed at St. Elizabeth Hospital for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St. Elizabeth Hospital's base inpatient payments by an estimated 0.16% 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 (297 discharges), heart failure and shock with mcc (231 discharges), septicemia or severe sepsis without mv >96 hours without mcc (94 discharges).
St. Elizabeth Hospital's Medicare case mix index is 1.97 for fiscal year 2027, higher than 76% of hospitals paid under the inpatient prospective payment system.
St. Elizabeth Hospital reported 10,719 inpatient discharges and 45,073 inpatient days from Jul 1, 2024 to Jun 30, 2025.
St. Elizabeth Hospital reported 932 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
St. Elizabeth Hospital reported $337M in net patient revenue on $1.6B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 6.4%, and net income of $22.4M.
St. Elizabeth Hospital reported $13.6M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $3.1M of charity care at cost.
St. Elizabeth Hospital's Medicare enrollment lists Chris Klay as President & CEO since 2025.
Insurers' price transparency files list St. Elizabeth Hospital under employer identification number 37-0663567 (St Elizabeths Hospital Of The Hospital). 61 health plans and networks list 37-0663567 for it.
HRSA's 340B database lists St. Elizabeth Hospital (340B ID DSH140187) as no longer participating since 2018.
597 clinicians who bill Medicare list St. Elizabeth Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (72), diagnostic radiology physician (54), family nurse practitioner (51).
CMS's Provider of Services file lists no accrediting organization for St. Elizabeth Hospital; it is certified for Medicare through state survey.
In its Medicare enrollment, St. Elizabeth Hospital reports Hospital Sisters Services Inc as Operational/managerial control.
CMS lists 43 services at St. Elizabeth Hospital, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Audiology, Cardiac Catheterization Lab.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at St. Elizabeth Hospital came from ZIP codes 62269 (798), 62221 (502), 62226 (409).
St. Elizabeth Hospital has 144 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 260 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
St. Elizabeth Hospital is located at One St. Elizabeth's Boulevard, O Fallon, IL 62269. Its main phone number is (618) 234-2120.
St. Elizabeth Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 140187.
The National Provider Identifier (NPI) on file for St. Elizabeth Hospital is 1629057302.
St. Elizabeth Hospital is affiliated with Hospital Sisters Health System.
St. Elizabeth Hospital lists 41 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
463 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