Tenet Healthcare Corporation · Oak Park, IL
1 of 5
CMS star rating
174
Beds
3,398
Inpatient discharges a year
$70.9M
Net patient revenue a year
30
In-network payers
West Suburban Medical Center is a 174-bed voluntary non-profit - other hospital in Oak Park, IL, affiliated with Tenet Healthcare Corporation. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 326 disclosed rate categories.
The 24 services West Suburban Medical Center 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
$6,000 - $11,720
from 4 insurers · median $7,066
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
MS-DRG 788
$8,400 - $17,213
from 4 insurers · median $11,434
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
Medicine & Surgery · Inpatient
MS-DRG 216
$85,651 - $141,693
from 4 insurers · median $105,077
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$6,000 - $11,720
from 4 insurers · median $7,066
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
Medicine & Surgery
CPT 66984
$2,894 - $5,667
from 4 insurers · median $3,828
173 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74177
$240 - $882
from 4 insurers · median $453
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$11,904 - $21,520
from 3 insurers · median $15,237
Hospital reports inpatient surgical services to CMS
Digestive procedures
CPT 43239
$1,137 - $3,073
from 4 insurers · median $2,119
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$676 - $1,011
from 4 insurers · median $821
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,500 - $2,430
from 4 insurers · median $1,922
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,970 - $7,580
from 4 insurers · median $6,713
Typical for a hospital with this service line
Mammography
CPT 77067
$119 - $479
from 4 insurers · median $161
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,500 - $2,430
from 4 insurers · median $1,663
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,790 - $12,008
from 4 insurers · median $6,237
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$726 - $1,704
from 4 insurers · median $1,455
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$922 - $2,430
from 4 insurers · median $1,922
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$31 - $240
from 4 insurers · median $133
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$2,037 - $3,738
from 4 insurers · median $2,356
35 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Medicine & Surgery
CPT 29881
$3,073 - $5,541
from 4 insurers · median $3,671
12 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74176
$215 - $299
from 4 insurers · median $268
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$3,803 - $7,300
from 4 insurers · median $6,015
Typical for a hospital with this service line
MRI imaging
CPT 70553
$176 - $1,534
from 4 insurers · median $467
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$352 - $1,904
from 4 insurers · median $1,165
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,833 - $4,059
from 4 insurers · median $3,406
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* | 24 | 131% | 5 | 4 |
| Insurer B* | 24 | 131% | 9 | 7 |
| Insurer C* | 24 | 123% | 2 | 14 |
| Insurer D* | 23 | 102% | 5 | 13 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 9 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 West Suburban Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$70.9M net patient revenue
Ownership and leadership
Owned by Aum Global Healthcare Management, LLC
The employer identification numbers (EINs) health plans and networks list for West Suburban Medical Center 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 |
|---|---|---|
| 61-1899386Aguilar Efrain E | 46Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 41 more | 1619442266 Resilience Healthcare-west Suburban Medical Center LLC1255807277 Resilience Healthcare-west Suburban Medical Center LLC1538635545 Resilience Healthcare - West Suburban Medical Center LLCand 7 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.
3 Erie Court, Oak Park, IL 60302
(708) 383-6200
How West Suburban Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 5 measures
0 better, 5 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 5 measures
1 better, 4 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
1 of 5
The lowest rating, shared by 2% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
46%
Lower than 99% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.26
Higher than 92% 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
272 min
Higher than 97% 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
25%
Lower than 98% 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 | 1 of 5 | |
| Death rates | No different on 5 measures | |
| Safety | Better on 1 of 5 measures | |
| Readmissions | Worse on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 1 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 46% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.26 | 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 | 272 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 25% | 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 West Suburban Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.35% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.79% 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 West Suburban Medical Center, 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 | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.202 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 650 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 | Not Available | 11.78 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.39 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 33 cases | 9.7 | 8.5 | 8.223 | Worse than 79% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 90 cases | 9.9 | 11 | 10.49 | Better than 71% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 104 cases | 14.1 | 15.2 | 15.41 | Better than 66% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 92 cases | 12.3 | 11.6 | 11.77 | Worse than 60% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,319 cases | 1.12 | 0.51 | 0.5668 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 173 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,546 cases | 0.32 | 0.2 | 0.2122 | No Different Than the National Rate | Worse than 95% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,638 cases | 0.26 | 0.27 | 0.2728 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 136 cases | 2.58 | 2.29 | 2.301 | No Different Than the National Rate | Worse than 80% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 26 cases | 1.67 | 1.63 | 1.67 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 31 cases | 11.15 | 8.88 | 9.531 | No Different Than the National Rate | Worse than 77% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 140 cases | 4.2 | 3.4 | 3.714 | No Different Than the National Rate | Worse than 86% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 27 cases | 6.02 | 5.105 | 5.152 | No Different Than the National Rate | Worse than 81% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 35 cases | 1.75 | 1.72 | 1.741 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 224 cases | 1 | 1.02 | 1.045 | No Different Than the National Rate | Better than 57% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.54 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 116 cases | 63 | 1.25 | 8.216 | Worse than 95% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 97 cases | 10.1 | 3.85 | 13.94 | Worse than 60% 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 · 329 cases | 12.8 | 12.9 | 12.97 | No Different Than the National Rate | Better than 55% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.17 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.176 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 36 cases | 1 | 1 | 1.016 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 34 cases | 15 | 14.4 | 14.43 | Worse than 78% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.3 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 80 cases | 20.5 | 19.8 | 20.07 | Worse than 76% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 223 cases | 21.7 | 21.3 | 21.51 | Worse than 61% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.976 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 173 cases | 17.4 | 17.2 | 17.5 | Worse than 55% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | West Suburban Medical Center | 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 | 1.985 | 0.172 | 0.315 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 6.966 | 1.504 | 2.097 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 2,785 | 1,370 | 4,356 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 2.559 | 0.9835 | 4.318 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 10 | 0 | 2.961 | Worse than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 3.908 | 0.484 | 0.7494 | Worse than the National Benchmark | Worse than 99% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.076 | 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 | 1.498 | 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 | 4,388 | 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 | 4.412 | 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 | 2 | 0 | 2.56 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.453 | 0.399 | 0.5759 | No Different than National Benchmark | Worse than 56% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3411 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.549 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 6 | 61 | 96.21 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.132 | 1.591 | 2.6 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.339 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9044 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3129 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.282 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 15 | 38 | 84.23 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.135 | 0.328 | 0.7325 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.72 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.899 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.042 | 0.193 | 0.1945 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.169 | 1.855 | 2.01 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 23,474 | 14,451 | 38,381 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.183 | 0.567 | 2.311 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 1.305 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.845 | 0.597 | 0.5504 | No Different than National Benchmark | Worse than 69% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.19 | 0.127 | 0.1833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.977 | 0.747 | 1.212 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 23,184 | 13,646 | 35,800 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 12.77 | 5.683 | 19.22 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 6 | 2 | 7.192 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.47 | 0.279 | 0.4067 | Better than the National Benchmark | Worse than 73% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 279 cases | 66 | 73 | 72.75 | Worse than 79% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 279 cases | 18 | 8 | 9.158 | Worse than 96% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 279 cases | 16 | 18 | 18.09 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 279 cases | 81 | 87 | 85.64 | Worse than 87% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 279 cases | 2 | 4 | 3.195 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 279 cases | 63 | 80 | 79.29 | Worse than 99% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 279 cases | 82 | 91 | 90.92 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 279 cases | 16 | 4 | 4.576 | Worse than 99% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 279 cases | 1 | 3 | 3.305 | The lowest rating, shared by 4% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 279 cases | 21 | 16 | 16.13 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 279 cases | 65 | 79 | 78.82 | Worse than 99% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 279 cases | 81 | 91 | 90.1 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 279 cases | 17 | 5 | 5.823 | Worse than 99% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 279 cases | 1 | 3 | 2.89 | The lowest rating, shared by 2% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 279 cases | 18 | 16 | 15.36 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 279 cases | 49 | 61 | 61.18 | Worse than 97% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 279 cases | 67 | 77 | 76.11 | Worse than 98% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 279 cases | 33 | 19 | 19.8 | Worse than 99% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 279 cases | 1 | 3 | 2.559 | The lowest rating, shared by 7% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 279 cases | 18 | 19 | 19.01 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 279 cases | 71 | 86 | 85.26 | Worse than 99% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 279 cases | 28 | 13 | 13.92 | Worse than 99% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 279 cases | 1 | 3 | 3.237 | The lowest rating, shared by 4% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 279 cases | 72 | 87 | 86.08 | Worse than 99% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 279 cases | 31 | 14 | 14.8 | Worse than 99% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 279 cases | 69 | 86 | 85.2 | Worse than 99% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 279 cases | 62 | 74 | 73.24 | Worse than 98% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 279 cases | 20 | 7 | 7.369 | Worse than 99% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 279 cases | 18 | 19 | 19.39 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 279 cases | 64 | 77 | 76.95 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 279 cases | 17 | 6 | 6.199 | Worse than 99% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 279 cases | 19 | 17 | 16.85 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 279 cases | 68 | 85 | 84.2 | Worse than 99% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 279 cases | 13 | 3 | 3.979 | Worse than 99% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 279 cases | 19 | 11 | 11.82 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 279 cases | 26 | 8 | 8.937 | Worse than 99% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 279 cases | 28 | 20 | 20.87 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 279 cases | 46 | 72 | 70.19 | Worse than 99% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 279 cases | 75 | 88 | 87.19 | Worse than 99% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 279 cases | 1 | 3 | 3.136 | The lowest rating, shared by 2% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 279 cases | 66 | 74 | 73.94 | Worse than 92% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 279 cases | 19 | 9 | 9.858 | Worse than 98% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 279 cases | 15 | 16 | 16.2 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 279 cases | 58 | 75 | 74.61 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 279 cases | 21 | 5 | 5.915 | Worse than 99% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 279 cases | 21 | 20 | 19.48 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 279 cases | 60 | 77 | 76.32 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 279 cases | 17 | 4 | 4.894 | Worse than 99% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 279 cases | 23 | 19 | 18.79 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 279 cases | 70 | 86 | 84.9 | Worse than 99% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 279 cases | 11 | 3 | 3.085 | Worse than 99% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 279 cases | 19 | 11 | 12.01 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 279 cases | 56 | 59 | 59.03 | Worse than 60% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 279 cases | 18 | 9 | 10.03 | Worse than 88% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 279 cases | 26 | 31 | 30.94 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 279 cases | 79 | 82 | 81.16 | Worse than 66% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 279 cases | 3 | 3 | 3.237 | Worse than 44% 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 · 279 cases | 22 | 5 | 6.753 | Worse than 99% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 279 cases | 46 | 71 | 68.65 | Worse than 99% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 279 cases | 70 | 87 | 85.89 | Worse than 99% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 279 cases | 32 | 23 | 24.6 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 279 cases | 1 | 4 | 3.458 | The lowest rating, shared by 3% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 279 cases | 33 | 47 | 46.95 | Worse than 98% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 279 cases | 48 | 30 | 30.69 | Worse than 99% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 279 cases | 19 | 22 | 22.36 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 279 cases | 1 | 3 | 3.119 | The lowest rating, shared by 2% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 279 cases | 26 | 12 | 13.09 | Worse than 99% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 279 cases | 74 | 88 | 86.91 | Worse than 99% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.656 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.114 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.2258 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,681 cases | 33 | 79 | 83.65 | Worse than 96% 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 · 366 cases | 277 | 154 | 183 | Worse than 97% 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 · 330 cases | 272 | 148 | 175 | Worse than 97% 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 · 27 cases | 452 | 247 | 304 | Worse than 92% 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 · 30,222 cases | 5 | 1 | 2.469 | Worse than 94% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 78.84 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 136 cases | 98 | 97 | 94.09 | Better than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 90 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 40.38 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 403 cases | 9 | 15 | 15.81 | Better than 86% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 88 cases | 25 | 65 | 62.57 | Worse than 98% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 24 cases | 25 | 73 | 71.03 | Worse than 99% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 85.26 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 88 cases | 64 | 82 | 79.02 | Worse than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 45 cases | 71 | 94 | 92.05 | Worse than 96% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 75.87 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 94.02 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 2,205 cases | 88 | 90 | 81.77 | Worse than 54% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 740 cases | 92 | 97 | 94.61 | Worse than 76% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.3 | 5 | 6.493 | Worse than 72% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5.9 | 6.6 | 7.806 | Better than 59% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.95 | 0.99 | 0.9996 | Better than 68% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 28.09 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 7.071 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 13.71 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 3.521 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 16 | 34 | 34.29 | Worse than 87% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4 | 8.75 | 8.88 | Worse than 87% of US hospitals | |
| VBP safety domain scoreFY 2026 | 34 | 40 | 36.66 | Worse than 61% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 8.5 | 10 | 9.377 | Worse than 61% of US hospitals | |
| VBP total performance scoreFY 2026 | 17.5 | 29.5 | 28.2 | Worse than 91% of US hospitals |
| By fiscal year | FY 2022 | FY 2023 | FY 2026 |
|---|---|---|---|
| VBP clinical outcomes domain score | 48 | 32.5 | 10 |
| VBP clinical outcomes weighted domain score | 12 | 8.125 | 2.5 |
| VBP efficiency and cost reduction domain score | Not Available | 10 | 10 |
| VBP efficiency and cost reduction weighted domain score | Not Available | 2.5 | 2.5 |
| VBP person and community engagement domain score | Not Available | Not Available | 16 |
| VBP person and community engagement weighted domain score | Not Available | Not Available | 4 |
| VBP safety domain score | Not Available | Not Available | 34 |
| VBP safety weighted domain score | Not Available | Not Available | 8.5 |
| VBP total performance score | Not Available | Not Available | 17.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.015 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.026 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.009 | 0.9969 | 1.009 | Worse than 61% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 130 cases | 1.1 | 0.9983 | 1.013 | Worse than 93% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.055 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 80 cases | 1 | 0.9955 | 1.018 | Worse than 53% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.004 | 1.001 | 1.003 | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.071 | 1.039 | 1.099 | 1.063 | 1.041 | 1.009 |
| READM-30-HF-HRRP | 1.025 | 1.094 | 1.096 | 1.03 | 1.037 | 1.1 |
| READM-30-HIP-KNEE-HRRP | 1.251 | 1.187 | 0.99 | 1.042 | N/A | N/A |
| READM-30-PN-HRRP | 1.083 | 1.043 | 1.006 | 1.02 | 1.035 | 1 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | West Suburban Medical Center | US median | IL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.843 | 0.489 | 0.5958 | Worse than 79% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.591 | 0.346 | 0.436 | Worse than 81% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.62 | 0.559 | 0.7638 | Worse than 96% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.978 | 0.6405 | 0.6364 | Worse than 76% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.26 | 0.9628 | 0.9883 | Worse than 92% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.784 | 0.7945 | 0.9041 | Worse than 91% of US hospitals | |
| Total HAC scoreFY 2026 | 1.31 | -0.0453 | 0.07842 | Worse than 97% 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 | Yes | Yes | Yes |
| Total HAC score | -0.3262 | -0.2083 | 0 | 1.283 | 1.548 | 1.31 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2022)
Accreditation
Graduate
Medical school affiliation
Private (for profit)
Ownership type
287
Medicare-certified beds
283
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What West Suburban Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,398
Inpatient discharges
Medicare 15%, Medicaid 11%
16,864
Inpatient days
34% of available bed days used
590
Employees (full-time equivalent)
15
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841892). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges West Suburban Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 3,695 | 1,051 | 12,118 | 16,864 |
| Discharges | 512 | 359 | 2,527 | 3,398 |
| Average length of stay | 7.2 days | 2.9 days | 4.8 days | 5.0 days |
| Average daily census | 10.1 | 2.9 | 33.2 | 46.2 |
2,384
Medicare Advantage days
200 discharges
5,050
Medicaid managed care days
1,930 discharges
744
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 114 | 13,301 | 3,117 | 32% |
| Intensive care unit | 21 | 3,347 | 578 | 44% |
| Nursery | 216 | |||
| Skilled nursing facility | 39 | 1,849 | 852 | 13% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841892, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What West Suburban Medical Center treats Medicare patients for most often, in 2024. 331 Medicare discharges in 16 published DRGs; 5% surgical; 83% 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 | 88 | $87,244 | $16,065 | $15,093 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 43 | $52,540 | $10,466 | $9,089 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $65,679 | $13,140 | $11,363 | 1.59 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 18 | $48,038 | $10,776 | $8,311 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 17 | $75,057 | $13,857 | $12,985 | 1.70 |
| Syncope and collapseMS-DRG 312, medical | 16 | $35,730 | $7,281 | $6,181 | 0.86 |
| Renal failure with CCMS-DRG 683, medical | 16 | $48,636 | $7,280 | $8,414 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $228,516 | $37,970 | $39,533 | 5.00 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $48,458 | $10,036 | $8,383 | 1.23 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $38,329 | $6,406 | $6,631 | 0.81 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $58,459 | $8,373 | $10,113 | 1.02 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $72,116 | $14,236 | $12,476 | 1.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 12 | $44,372 | $10,559 | $7,676 | 1.32 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $76,427 | $12,322 | $13,222 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $75,356 | $13,209 | $13,037 | 1.65 |
| Seizures without MCCMS-DRG 101, medical | 11 | $40,071 | $7,128 | $6,932 | 0.91 |
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) West Suburban Medical Center billed Medicare for most in 2024: 348 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 173 | 126 | $16,802 | $1,726 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 93 | 92 | $23,529 | $2,029 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 35 | 28 | $10,303 | $1,432 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 19 | 19 | $8,831 | $1,202 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 16 | 16 | $29,579 | $2,181 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 12 | 12 | $26,223 | $2,401 | $2,373 |
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 West Suburban Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,841 in 2020 to 596 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 60644 | 247 | 41% | 1,659 | $17.2M | 12% | 22% |
| 60651 | 168 | 28% | 1,153 | $11.8M | 7% | 20% |
| 60639 | 76 | 13% | 526 | $5.5M | 3% | 9% |
| 60624 | 36 | 6% | 260 | $2.7M | 2% | 7% |
| 60707 | 35 | 6% | 304 | $2.8M | 2% | 5% |
| 60302 | 23 | 4% | 172 | $1.6M | 2% | 11% |
| 60640 | 11 | 2% | 96 | $603,422 | 0% |
Source: CMS Hospital Service Area file. Shares are of the 596 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 West Suburban Medical Center reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
283
Registered nurses
10
Licensed practical nurses
69
Physicians
56
Resident physicians
14
Pharmacists
12
Respiratory therapists
18
Physical therapists
5
Occupational therapists
1
Speech pathologists and audiologists
7
Dietitians
4
Social workers
918
Other personnel
Source: CMS Provider of Services file.
114 clinicians who bill Medicare list West Suburban Medical Center 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.
Vishnu Chundi, MD
Infectious Disease Physician
NPI 1558357905
See commercial rates for Vishnu Chundi, MDVictor Romano, M.D.
Orthopaedic Surgery Physician
NPI 1033149901
See commercial rates for Victor Romano, M.D.Mark Balek, M.D.
Cardiovascular Disease Physician
NPI 1952557316
See commercial rates for Mark Balek, M.D.Elsayed Mohamed, MD
Interventional Cardiology Physician
NPI 1841484813
See commercial rates for Elsayed Mohamed, MDXuyang Song, M.D.
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1942681101
See commercial rates for Xuyang Song, M.D.Maria Mcgann, D.O.
Orthopaedic Foot and Ankle Surgery Physician
NPI 1790058717
See commercial rates for Maria Mcgann, D.O.Mark Girguis, MD
Diagnostic Radiology Physician
NPI 1477591154
See commercial rates for Mark Girguis, MDMuhammad Balouch
Cardiovascular Disease Physician
NPI 1235390469
See commercial rates for Muhammad BalouchJaime Belmares Avalos, MD
Infectious Disease Physician
NPI 1164457578
See commercial rates for Jaime Belmares Avalos, MDDavid Springer, M.D.
Ophthalmology Physician
NPI 1003811787
See commercial rates for David Springer, M.D.Krishdeep Khosla, MD
Internal Medicine Physician
NPI 1306899570
See commercial rates for Krishdeep Khosla, MDFabiola Espinoza, MD
Infectious Disease Physician
NPI 1902112535
See commercial rates for Fabiola Espinoza, MDAhmad Mousa, MD
Diagnostic Radiology Physician
NPI 1265973606
See commercial rates for Ahmad Mousa, MDHannah Kotch, MD
Diagnostic Radiology Physician
NPI 1780826016
See commercial rates for Hannah Kotch, MDNancy Gryniewicz, M.D.
Family Medicine Physician
NPI 1558368043
See commercial rates for Nancy Gryniewicz, M.D.Sagun Gautam, MD
Family Medicine Physician
NPI 1205049046
See commercial rates for Sagun Gautam, MDRaffay Khan, MD
Clinical Cardiac Electrophysiology Physician
NPI 1194052829
See commercial rates for Raffay Khan, MDMukesh Ahluwalia, MD
Pulmonary Disease Physician
NPI 1417933946
See commercial rates for Mukesh Ahluwalia, MDKatherine Heretis, M.D.
Cardiovascular Disease Physician
NPI 1710151550
See commercial rates for Katherine Heretis, M.D.John Wilson, MD
Neurology Physician
NPI 1548243678
See commercial rates for John Wilson, MDMartin Yee, MD
Physical Medicine & Rehabilitation Physician
NPI 1659449171
See commercial rates for Martin Yee, MDGeorge Naratadam, D.O.
Nephrology Physician
NPI 1235162637
See commercial rates for George Naratadam, D.O.Lawrence Rudnick, MD
Pulmonary Disease Physician
NPI 1174539084
See commercial rates for Lawrence Rudnick, MDSamip Morker, DO
Interventional Pain Medicine Physician
NPI 1790914828
See commercial rates for Samip Morker, DOSource: 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 West Suburban Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $417.3M | 588.2% |
| Inpatient | $409.7M | 577.6% |
| Outpatient | $7.5M | 10.6% |
| Contractual allowances and discounts | -$346.3M | -488.2% |
| Net patient revenue | $70.9M | 100.0% |
| Operating expenses | -$103.1M | -145.4% |
| Operating income from patient care | -$32.2M | -45.4% |
| Other income | $30.6M | 43.1% |
| Net income | -$1.6M | -2.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $41.7M | 10.0% |
| Medicaid (including managed care) | $207.4M | 49.7% |
| Other payers and self-pay | $168.1M | 40.3% |
| Total charges | $417.3M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841892, 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 West Suburban Medical Center's latest cost report.
-45.4%
Operating margin
Operating income from patient care / net patient revenue
-1.6%
Total margin
Net income / net patient revenue plus other income
0.4%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$41.07
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-13.5%
Return on assets
Net income for a year / total assets
-23.4%
Return on equity
Net income for a year / fund balance
2.52
Current ratio
Current assets / current liabilities
4.06
Quick ratio
Cash, temporary investments and net receivables / current liabilities
7 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
91 days
Days in patient receivables
Net patient receivables / daily net patient revenue
17 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
8.39
Asset turnover
Total revenue for a year / total assets
0.0 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841892, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What West Suburban Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $12.1M in total assets and a $7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1.9M | 15.5% |
| Patient receivables, net | $17.8M | 146.9% |
| Inventory | -$7.6M | -62.9% |
| Total current assets | $12.2M | 100.7% |
| Property and equipment, net of depreciation | -$82,526 | -0.7% |
| Total assets | $12.1M | 100.0% |
| Current liabilities | $4.8M | 40.0% |
| Total liabilities | $5.1M | 42.2% |
| Fund balance (net assets) | $7M | 57.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841892, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care West Suburban Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$5,224
Bad debt
Patient bills written off as uncollectible, at charges
$16M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$16M
Total unreimbursed and uncompensated care
15.5% 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 841892, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
West Suburban Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Apr 2020 | Apr 2021 | Apr 2022 | Apr 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $120.8M | $120.8M | $116M | $132.1M | $119M | $70.9M |
| Operating expenses | $166.7M | $175.3M | $175.2M | $159.6M | $136.5M | $103.1M |
| Operating margin | -38.1% | -45.2% | -51.0% | -20.8% | -14.7% | -45.4% |
| Net income | -$28M | -$9.4M | -$23.8M | -$10.1M | -$6.4M | -$1.6M |
| Total assets | $43.9M | $56.5M | -$6.5M | $83.2M | $99.4M | $12.1M |
| Discharges | 6,302 | 5,731 | 6,377 | 6,876 | 4,297 | 3,398 |
| Inpatient days | 26,336 | 27,593 | 28,063 | 29,313 | 22,580 | 16,864 |
| Medicare Advantage days | 4,104 | 5,152 | 5,820 | 6,719 | 5,801 | 2,384 |
| Beds | 174 | 174 | 174 | 174 | 174 | 174 |
| Employees (FTE) | 3,127 | 721 | 764 | 590 | 590 | 590 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841892, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center West Suburban Medical Center 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 |
|---|---|---|---|---|---|
| Emergency | $1.6M | $11M | $47.3M | 0.23 | 37,800 |
| Drugs charged to patients | $10.9M | $52.3M | 0.21 | ||
| Impl. dev. charged to patients | $9M | $15.9M | 0.57 | ||
| Medical supplies charged to patient | $6.9M | $11.3M | 0.61 | ||
| Radiology-diagnostic | $1M | $6.7M | $15.6M | 0.43 | 20,529 |
| Laboratory | $859,405 | $4.9M | $53.7M | 0.09 | 15,368 |
| Operating room | $1.6M | $4.3M | $23.1M | 0.18 | 28,474 |
| Clinic | $1.8M | $2.8M | $2M | 1.45 | 6,254 |
| Delivery room & labor room | $876,914 | $2.4M | $886,685 | 2.69 | 17,595 |
| Gastro intestinal services | $453,598 | $1.8M | $3.7M | 0.47 | 19,513 |
| Physical therapy | $594,173 | $1M | $6.7M | 0.15 | 2,460 |
| Ct scan | $387,860 | $923,208 | $52.1M | 0.02 | |
| Cardiac catheterization | $197,767 | $903,580 | $5.3M | 0.17 | 3,066 |
| Wound care | $289,547 | $842,328 | $2.7M | 0.31 | |
| Cancer center | $445,500 | $710,850 | $2.9M | 0.25 | |
| Ultra sound | $499,584 | $709,713 | $8.5M | 0.08 | |
| Observation beds (non-distinct part | $587,098 | $2.5M | 0.23 | ||
| Renal dialysis | $561,170 | $524,354 | 1.07 | 535 | |
| Occupational therapy | $355,505 | $489,460 | $3.5M | 0.14 | |
| Electrocardiology | $197,584 | $460,525 | $8.2M | 0.06 | 2,823 |
| Radioisotope | $149,743 | $428,779 | $1.4M | 0.30 | 2,878 |
| Respiratory therapy | $740,228 | $374,950 | $10.4M | 0.04 | 3,491 |
| Recovery room | $217,276 | $350,787 | $984,981 | 0.36 | |
| Mri | $175,438 | $313,780 | $8.3M | 0.04 | |
| Anesthesiology | $47,794 | $248,462 | $668,545 | 0.37 | 711 |
| Speech pathology | $52,067 | $146,843 | $265,987 | 0.55 | 1,496 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.6M | $11.1M | $55.6M | 0.20 | 64,336 |
| Intensive care unit | $226,790 | $4.4M | $19.5M | 0.22 | 15,748 |
| Skilled nursing facility | $750,585 | $2.2M | $1.6M | 1.35 | 16,182 |
| Nursery | $331,938 | $691,075 | $87,459 | 7.90 | 818 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $4.9M | $13.8M | 46,907 | $57.92 | 32,947 |
| Central services & supply | $162,219 | $8.3M | 8,115 | $19.99 | 6,169 |
| Operation of plant | $2.9M | $8.1M | 124,315 | $23.73 | 131,437 |
| Cap rel costs-bldg & fixt | $3.6M | 507,784 | |||
| Employee benefits department | $2.8M | $3.3M | 11,627 | $32.97 | |
| Cap rel costs-mvble equip | $1.6M | ||||
| Pharmacy | $1.1M | $1.4M | 26,486 | $40.04 | 3,689 |
| Laundry & linen service | $1.3M | 1,702 | |||
| Housekeeping | $1M | $1.1M | 51,370 | $19.87 | 3,768 |
| Dietary | $754,916 | $1.1M | 33,433 | $22.58 | 17,042 |
| I&r services-salary & fringes apprv | $899,673 | ||||
| Medical records & library | $746,828 | $874,776 | 26,606 | $28.07 | 722 |
| I&r services-other prgm costs apprv | $1.6M | $735,305 | 8,135 | ||
| Nursing administration | $97,997 | $97,997 | 2,753 | $35.60 | 1,472 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841892, 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 West Suburban Medical Center for an inpatient stay.
1.57
Case mix index
Higher than 37% 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
0.20 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
59.4%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
564
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 | 1.78 | 1.78 | 1.88 | 1.88 | 1.64 | 1.66 | 1.57 |
| Wage index | 1.035 | 1.033 | 1.038 | 1.021 | 1.071 | 1.081 | 1.172 |
| Readmissions adjustment | -0.76% | -0.78% | -0.80% | -0.46% | -0.20% | -0.17% | -0.35% |
| Value-based purchasing adjustment | +0.31% | 0.00% | 0.00% | -0.64% | 0.00% | 0.00% | -0.79% |
| Medicare inpatient stays | 1,453 | 1,453 | 954 | 935 | 892 | 695 | 564 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations West Suburban Medical Center reports to Medicare as owners or with operational control. 3 individuals also hold ownership interests; they are not listed here.
Aum Global Healthcare Management, LLC
5% or greater direct ownership interest, 100%, since 2022
Westlaw Management Group, LLC
Operational/managerial control, 0%, since 2023
Sources: CMS Hospital All Owners, CMS Hospital Change of Ownership.
The officers and board members on West Suburban Medical Center'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 2 of 3 are shown.
West suburban snf
CCN 145743, certified 1992, Medicare prospective payment
Source: Worksheet S-2 Part I of West Suburban Medical Center's latest Medicare cost report (HCRIS).
About West Suburban Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at West Suburban Medical Center range from $176 to $1,534 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $1,534. The median at nearby comparable hospitals is $1,228. 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 West Suburban Medical Center range from $240 to $882 across 4 insurers. UnitedHealthcare's rate is $468. The median at nearby comparable hospitals is $820. 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 West Suburban Medical Center range from $1,500 to $2,430 across 4 insurers. Aetna's rate is $2,037. The median at nearby comparable hospitals is $1,979. 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 West Suburban Medical Center range from $6,000 to $11,720 across 4 insurers. Cigna's rate is $11,720. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at West Suburban Medical Center range from $119 to $479 across 4 insurers. UnitedHealthcare's rate is $119. The median at nearby comparable hospitals is $196. What a patient pays depends on their plan's deductible, coinsurance and network status.
West Suburban Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
Yes. CMS counts 0.20 Medicare-funded residents per bed at West Suburban Medical Center for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts West Suburban Medical Center's base inpatient payments by an estimated 0.35% 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 (88 discharges), heart failure and shock with mcc (43 discharges), acute myocardial infarction, discharged alive with mcc (19 discharges).
West Suburban Medical Center's Medicare case mix index is 1.57 for fiscal year 2027, higher than 37% of hospitals paid under the inpatient prospective payment system.
West Suburban Medical Center reported 3,398 inpatient discharges and 16,864 inpatient days from Jan 1, 2025 to Dec 31, 2025.
West Suburban Medical Center reported 590 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
West Suburban Medical Center reported $70.9M in net patient revenue on $417.3M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -45.4%, and net income of -$1.6M.
West Suburban Medical Center reported $16M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.
West Suburban Medical Center's Medicare enrollment lists Manoj K Prasad as CEO since 2022.
Insurers' price transparency files list West Suburban Medical Center under employer identification number 61-1899386 (Aguilar Efrain E). 46 health plans and networks list 61-1899386 for it.
114 clinicians who bill Medicare list West Suburban Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (15), emergency medicine physician (14), diagnostic radiology physician (13).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for West Suburban Medical Center, effective 2022.
In its Medicare enrollment, West Suburban Medical Center reports Aum Global Healthcare Management, LLC as 5% or greater direct ownership interest (100%).
CMS lists 26 services at West Suburban Medical Center, including Acute Renal Dialysis, Anesthesia, Cardiac Thoracic Surgery, Clinical Laboratory, Coronary Care Unit, Dental Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at West Suburban Medical Center came from ZIP codes 60644 (247), 60651 (168), 60639 (76).
West Suburban Medical Center has 174 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 287 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
West Suburban Medical Center is located at 3 Erie Court, Oak Park, IL 60302. Its main phone number is (708) 383-6200.
West Suburban Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 140049.
The National Provider Identifier (NPI) on file for West Suburban Medical Center is 1619442266.
West Suburban Medical Center is affiliated with Tenet Healthcare Corporation.
West Suburban Medical Center lists 30 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.
326 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