Illinois / OSF Saint Anthony's Health Center
CMS certification 140052 · Alton, IL · 2 entries in CMS's price-transparency list
OSF Saint Anthony's Health Center: charges and Medicare payments
OSF Saint Anthony's Health Center reported 388 Medicare inpatient stays across 15 DRGs in 2024. Across them it charged 3.05 times what it was paid — among the lower ratios in Illinois, number 86 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 111 stays at an average charge of $43,882, 51% below the national average. It also billed 429 outpatient services, charging 8.43 times what Medicare paid.
- 1Medicare inpatient stays 388
- 2Charge ÷ paid, inpatient 3.05×
- 3Rank in IL (highest ratio = 1) 86 of 106
- 4CMS price-transparency actions 2
Inpatient stays
For the 15 DRGs that can be compared with the national average, OSF Saint Anthony's Health Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 111 | $43,882 | -51% | $14,470 |
| 291 Heart Failure and Shock with MCC | 48 | $29,901 | -47% | $10,307 |
| 193 Simple Pneumonia and Pleurisy with MCC | 30 | $31,365 | -48% | $10,084 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $29,812 | -58% | $13,260 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $31,678 | -35% | $7,667 |
| 682 Renal Failure with MCC | 21 | $33,549 | -49% | $10,815 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $28,192 | -51% | $9,023 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $19,901 | -47% | $6,201 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $22,770 | -55% | $8,362 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $24,530 | -39% | $5,865 |
| 683 Renal Failure with CC | 15 | $23,812 | -42% | $6,853 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $121,051 | -47% | $38,479 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $40,204 | -47% | $10,314 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $26,587 | -64% | $12,926 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $30,968 | -36% | $9,823 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 113 | $11,312 | $2,154 |
| Comprehensive Observation Services | 94 | $16,205 | $2,510 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 48 | $9,602 | $1,498 |
| Level 4 Urology and Related Services | 41 | $25,625 | $3,222 |
| Level 1 Endovascular Procedures | 33 | $25,736 | $3,016 |
| Level 5 Urology and Related Services | 21 | $34,143 | $4,266 |
| Level 2 Upper GI Procedures | 15 | $11,299 | $1,758 |
| Level 3 Musculoskeletal Procedures | 14 | $25,518 | $2,991 |
| Level 3 Urology and Related Services | 14 | $19,497 | $1,882 |
| Level 3 Endovascular Procedures | 13 | $50,739 | $10,158 |
| Level 1 Laparoscopy and Related Services | 12 | $30,356 | $5,332 |
| Level 2 Vascular Procedures | 11 | $14,473 | $1,413 |
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), OSF Saint Anthony's Health Center charged $43,882 on average, 41% less than the Illinois average of $73,987, and was paid $14,470 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), OSF Saint Anthony's Health Center charged $29,901 on average, 35% less than the Illinois average of $46,293, and was paid $10,307 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), OSF Saint Anthony's Health Center charged $31,365 on average, 36% less than the Illinois average of $49,081, and was paid $10,084 against a state average of $11,857. For Respiratory Infections and Inflammations with MCC (DRG 177), OSF Saint Anthony's Health Center charged $29,812 on average, 50% less than the Illinois average of $59,769, and was paid $13,260 against a state average of $14,404. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,312 was 24% below the state average of $14,917. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,205 was 25% below the state average of $21,498. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,602 was 19% below the state average of $11,818. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $25,625 was 8% above the state average of $23,744.
Price-transparency record
CMS's enforcement list records these actions for a hospital named OSF Saint Anthony's Health Center in Alton, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-01-07 (CMS case 6772)
- Closure Notice — 2026-04-14 (CMS case 6772)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.