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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Swedish Hospital

NorthShore University Health System · Chicago, IL

5145 North California Avenue, Chicago, IL 60625(773) 878-8200

3 of 5

CMS star rating

199

Beds

12,267

Inpatient discharges a year

$901.3M

Net patient revenue a year

34

In-network payers

About this hospital

Swedish Hospital is a 199-bed voluntary non-profit - church hospital in Chicago, IL, affiliated with NorthShore University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 353 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
140114
NPI
1831151257
Health system
NorthShore University Health System
Teaching
Major teaching hospital
County
Cook County
Metro area
Chicago-Naperville-Elgin, IL-IN MSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1966
Last CMS survey
2021

Prices for common services

The 24 services Swedish Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,637 - $8,374

from 4 insurers · median $6,293

BCBS Illinois$5,637
Insurer A*$6,038
Insurer B*$6,547
Insurer C*$8,374

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$8,176 - $11,745

from 4 insurers · median $9,713

BCBS Illinois$8,340
Insurer A*$8,176
Insurer B*$11,086
Insurer C*$11,745

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

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$3,376 - $4,579

from 4 insurers · median $4,396

UnitedHealthcare$3,376
Insurer A*$4,338
Insurer B*$4,454
Insurer C*$4,579
Medicare $3,171Nearby hospitals $3,16339% above nearby hospitals

15 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$300 - $855

from 4 insurers · median $529

Aetna$565
Insurer A*$300
Insurer B*$493
Insurer C*$855
Medicare $342Nearby hospitals $81135% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Swedish Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
210%
142
Insurer B*24
140%
127
Insurer C*23
139%
88
Insurer D*24
96%
214

How we chose these services: 5 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 8 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 Swedish Hospital, or start a free trial.

Insurance Accepted

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

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 254 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.10%)
    See quality ratings
  • Doctors and services

    Accredited by ACHC

    • Major teaching hospital
    • 42 services
    • 1,509 affiliated clinicians
    See doctors and services
  • Finances

    $901.3M net patient revenue

    • Operating margin on patient care 21.0%
    • $27M unreimbursed and uncompensated care
    • $217.3M net income
    See finances
  • Ownership and leadership

    Owned by Endeavor Health

    • Church
    • Anthony Guaccio, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Swedish Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
36-2179813Swedish Covenant Hospital58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1831151257 Swedish Covenant Health1336101302 Swedish Covenant Health1679535637 Swedish Covenant Healthand 6 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

5145 North California Avenue, Chicago, IL 60625

(773) 878-8200

Get directions

Frequently asked questions

About Swedish Hospital's rates and hospital price transparency.

How much does a CT scan cost at Swedish Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Swedish Hospital range from $300 to $855 across 4 insurers. Aetna's rate is $565. The median at nearby comparable hospitals is $811. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Swedish Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Swedish Hospital range from $1,612 to $2,560 across 4 insurers. Cigna's rate is $2,560. The median at nearby comparable hospitals is $1,845. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Swedish Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Swedish Hospital range from $5,637 to $8,374 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $5,637. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Swedish Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Swedish Hospital range from $95 to $208 across 4 insurers. Aetna's rate is $142. The median at nearby comparable hospitals is $169. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Swedish Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Swedish Hospital range from $16,777 to $23,629 across 4 insurers. Aetna's rate is $22,783. The median at nearby comparable hospitals is $23,602. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Swedish Hospital's CMS star rating?

Swedish 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.

Is Swedish Hospital a teaching hospital?

Yes. CMS counts 0.27 Medicare-funded residents per bed at Swedish Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Swedish Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Swedish Hospital's base inpatient payments by an estimated 0.10% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Swedish Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (260 discharges), heart failure and shock with mcc (88 discharges), respiratory infections and inflammations with mcc (45 discharges).

What is Swedish Hospital's case mix index?

Swedish Hospital's Medicare case mix index is 1.82 for fiscal year 2027, higher than 63% of hospitals paid under the inpatient prospective payment system.

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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