Hospital Sisters Health System · Highland, IL
38
In-network payers
415
Disclosed rate categories
25
Beds
2
Care quality
St. Josephs Hospital-Highland Il is a 25-bed voluntary non-profit - church hospital in Highland, IL, affiliated with Hospital Sisters Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 415 disclosed rate categories.
CCN (Medicare provider number)
141336
NPI
1447352323
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Church
Beds
25
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services St. Josephs Hospital-Highland Il 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.
CT imaging
CPT 74177
$438 - $3,666
from 4 insurers · median $933
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$348 - $2,812
from 4 insurers · median $1,795
Typical for a hospital with this service line
CT imaging
CPT 70450
$136 - $1,315
from 4 insurers · median $565
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$640 - $4,080
from 2 insurers · median $2,360
Typical for a hospital with this service line
Mammography
CPT 77067
$198 - $1,277
from 4 insurers · median $295
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$559 - $4,080
from 2 insurers · median $2,319
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$740 - $4,080
from 2 insurers · median $2,410
Typical for a hospital with this service line
CT imaging
CPT 74176
$208 - $1,940
from 4 insurers · median $834
Typical for a hospital with this service line
CT imaging
CPT 71275
$399 - $2,824
from 4 insurers · median $900
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$439 - $4,080
from 2 insurers · median $2,259
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$43 - $550
from 4 insurers · median $163
Typical for a hospital with this service line
MRI imaging
CPT 70551
$259 - $4,734
from 4 insurers · median $1,385
Typical for a hospital with this service line
MRI imaging
CPT 72148
$247 - $4,019
from 4 insurers · median $1,344
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$10,663 - $22,622
from 3 insurers · median $20,043
Hospital reports orthopedic surgery services to CMS
Cardiology and vascular testing
CPT 93971
$194 - $2,021
from 4 insurers · median $733
Typical for a hospital with this service line
Ultrasound
CPT 76705
$114 - $855
from 4 insurers · median $430
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$657 - $5,773
from 4 insurers · median $1,588
Hospital reports nuclear medicine services to CMS
Medicine & Surgery
CPT 66984
$873 - $4,867
from 2 insurers · median $2,870
Typical for a hospital with this service line
MRI imaging
CPT 73721
$284 - $4,203
from 4 insurers · median $1,342
Typical for a hospital with this service line
MRI imaging
CPT 70553
$429 - $2,359
from 3 insurers · median $744
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,174 - $10,453
from 4 insurers · median $3,937
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$324 - $3,343
from 4 insurers · median $1,178
Typical for a hospital with this service line
Ultrasound
CPT 76642
$106 - $764
from 4 insurers · median $432
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$1,322 - $10,417
from 4 insurers · median $4,859
Typical for a hospital with this service line
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* | 18 | 1187% | 11 | 5 |
| Insurer B* | 24 | 539% | 16 | 5 |
| Insurer C* | 23 | 133% | 17 | 5 |
| Insurer D* | 19 | 125% | 2 | 15 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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. Josephs Hospital-Highland Il.
12866 Troxler Avenue, Highland, IL 62249
(618) 651-2600
The nearest hospitals of similar type and size. Their rates are compared with St. Josephs Hospital-Highland Il for the same insurers and services above.
Community Hospital Of Staunton
▼ Rates typically 27% lower than St. Josephs Hospital-Highland Il (23 services)
Hillsboro Area Hospital
▲ Rates typically 232% higher than St. Josephs Hospital-Highland Il (23 services)
Washington County Hospital
▼ Rates typically 24% lower than St. Josephs Hospital-Highland Il (17 services)
Fayette County Hospital
▼ Rates typically 14% lower than St. Josephs Hospital-Highland Il (23 services)
Carlinville Area Hospital
Rates about the same as St. Josephs Hospital-Highland Il (18 services)
Salem Township Hospital
▼ Rates typically 45% lower than St. Josephs Hospital-Highland Il (22 services)
Hshs St. Francis Hospital
Pana Community Hospital
Hoopeston Community Memorial Hospital
Pinckneyville Community Hospital
About St. Josephs Hospital-Highland Il's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at St. Josephs Hospital-Highland Il range from $259 to $4,734 across 4 insurers. Cigna's rate is $259. The median at nearby comparable hospitals is $2,260. 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. Josephs Hospital-Highland Il range from $438 to $3,666 across 4 insurers. Aetna's rate is $552. The median at nearby comparable hospitals is $3,284. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St. Josephs Hospital-Highland Il range from $559 to $4,080 across 2 insurers. UnitedHealthcare's rate is $4,080. The median at nearby comparable hospitals is $1,586. 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. Josephs Hospital-Highland Il range from $198 to $1,277 across 4 insurers. Cigna's rate is $213. The median at nearby comparable hospitals is $341. 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. Josephs Hospital-Highland Il range from $10,663 to $22,622 across 3 insurers. UnitedHealthcare's rate is $20,043. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Josephs Hospital-Highland Il has 25 beds. Facility type: Critical Access Hospital.
St. Josephs Hospital-Highland Il is located at 12866 Troxler Avenue, Highland, IL 62249. Its main phone number is (618) 651-2600.
St. Josephs Hospital-Highland Il's CMS Certification Number (CCN), also called its Medicare provider number, is 141336.
The National Provider Identifier (NPI) on file for St. Josephs Hospital-Highland Il is 1447352323.
St. Josephs Hospital-Highland Il is affiliated with Hospital Sisters Health System.
St. Josephs Hospital-Highland Il lists 38 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.
415 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