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Short Term Acute Care HospitalVoluntary Non-Profit - Private

St. Margarets Hospital

Spring Valley, IL

600 East First Street, Spring Valley, IL 61362(815) 664-1176

44

Beds

924

Inpatient discharges a year

$65.7M

Net patient revenue a year

14

In-network payers

About this hospital

St. Margarets Hospital is a 44-bed voluntary non-profit - private hospital in Spring Valley, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 14 in-network payers and 35 disclosed rate categories.

CCN
140143
NPI
1861494072
Medicare contractor
Jurisdiction 6, National Government Services (06101)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

BCBS

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

BCBS

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very Low

BCBS

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

BCBS

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

BCBS

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
BCBS
Cigna
Ameri HealthCenteneGroup Health Cooperative of South Central WisconsinKaiser PermanenteMVP Health CareMagnaCare

More about this hospital

Location

600 East First Street, Spring Valley, IL 61362

(815) 664-1176

Get directions

Frequently asked questions

About St. Margarets Hospital's rates and hospital price transparency.

How many patients does St. Margarets Hospital admit?

St. Margarets Hospital reported 924 inpatient discharges and 3,870 inpatient days from Oct 1, 2022 to Aug 10, 2023.

How many employees does St. Margarets Hospital have?

St. Margarets Hospital reported 402 full-time-equivalent employees on payroll from Oct 1, 2022 to Aug 10, 2023.

How much revenue does St. Margarets Hospital make?

St. Margarets Hospital reported $65.7M in net patient revenue on $225.3M of gross charges for Oct 1, 2022 to Aug 10, 2023, an operating margin of -17.9%, and net income of -$7.6M.

How much charity and uncompensated care does St. Margarets Hospital provide?

St. Margarets Hospital reported $5.2M of unreimbursed and uncompensated care for Oct 1, 2022 to Aug 10, 2023.

Who is the CEO of St. Margarets Hospital?

St. Margarets Hospital's Medicare enrollment lists Timothy Muntz as President & CEO since 1993.

Who owns St. Margarets Hospital?

In its Medicare enrollment, St. Margarets Hospital reports Sisters Of Mary Of The Presentation Health System as Operational/managerial control (100%).

What services does St. Margarets Hospital offer?

CMS lists 30 services at St. Margarets Hospital, including Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory, CT Scan.

How many beds does St. Margarets Hospital have?

St. Margarets Hospital has 44 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.

Where is St. Margarets Hospital and what is its phone number?

St. Margarets Hospital is located at 600 East First Street, Spring Valley, IL 61362. Its main phone number is (815) 664-1176.

What is St. Margarets Hospital's CCN (Medicare provider number)?

St. Margarets Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 140143.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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