Illinois / St Anthonys Memorial Hospital
CMS certification 140032 · Effingham, IL
St Anthonys Memorial Hospital: charges and Medicare payments
St Anthonys Memorial Hospital reported 1,027 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 2.61 times what it was paid — among the lower ratios in Illinois, number 93 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: 193 stays at an average charge of $38,961, 57% below the national average. It also billed 1,368 outpatient services, charging 6.45 times what Medicare paid.
- 1Medicare inpatient stays 1,027
- 2Charge ÷ paid, inpatient 2.61×
- 3Rank in IL (highest ratio = 1) 93 of 106
- 4CMS price-transparency actions 0
Inpatient stays
For the 30 DRGs that can be compared with the national average, St Anthonys Memorial Hospital 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 | 193 | $38,961 | -57% | $17,731 |
| 291 Heart Failure and Shock with MCC | 110 | $25,486 | -55% | $11,106 |
| 193 Simple Pneumonia and Pleurisy with MCC | 71 | $30,440 | -49% | $11,496 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 64 | $28,705 | -41% | $8,676 |
| 189 Pulmonary Edema and Respiratory Failure | 63 | $26,157 | -55% | $10,897 |
| 177 Respiratory Infections and Inflammations with MCC | 48 | $30,558 | -57% | $13,959 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $31,640 | -57% | $13,936 |
| 689 Kidney and Urinary Tract Infections with MCC | 38 | $26,205 | -49% | $9,859 |
| 481 Hip and Femur Procedures except Major Joint with CC | 36 | $60,851 | -40% | $18,658 |
| 690 Kidney and Urinary Tract Infections without MCC | 29 | $23,548 | -38% | $6,812 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 24 | $59,319 | -42% | $17,798 |
| 603 Cellulitis without MCC | 24 | $26,364 | -29% | $7,464 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $24,199 | -40% | $6,626 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $22,169 | -40% | $6,608 |
| 683 Renal Failure with CC | 21 | $20,229 | -50% | $7,554 |
| 312 Syncope and Collapse | 19 | $24,740 | -46% | $7,316 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 18 | $27,055 | -47% | $9,339 |
| 389 Gastrointestinal Obstruction with CC | 17 | $24,276 | -38% | $6,735 |
| 812 Red Blood Cell Disorders without MCC | 17 | $24,996 | -44% | $7,635 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $29,778 | -47% | $10,162 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $32,258 | -46% | $11,080 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $34,746 | -9% | $7,553 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $22,006 | -55% | $8,300 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $27,771 | -50% | $8,550 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $26,050 | -66% | $13,407 |
| 682 Renal Failure with MCC | 13 | $26,138 | -60% | $12,611 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $26,324 | -45% | $8,613 |
| 811 Red Blood Cell Disorders with MCC | 13 | $26,670 | -61% | $11,853 |
| 638 Diabetes with CC | 12 | $19,456 | -53% | $7,596 |
| 637 Diabetes with MCC | 11 | $36,598 | -45% | $12,240 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 460 | $17,221 | $2,700 |
| Level 1 Intraocular Procedures | 273 | $5,917 | $2,286 |
| Level 4 Urology and Related Services | 94 | $18,203 | $3,450 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 88 | $10,048 | $1,590 |
| Level 1 Nerve Procedures | 76 | $10,932 | $1,858 |
| Level 3 Urology and Related Services | 61 | $10,447 | $1,990 |
| Level 5 Musculoskeletal Procedures | 52 | $49,083 | $13,006 |
| Level 5 Urology and Related Services | 51 | $31,769 | $5,121 |
| Level 2 Vascular Procedures | 39 | $11,487 | $1,532 |
| Level 3 Musculoskeletal Procedures | 35 | $12,443 | $2,985 |
| Level 4 Musculoskeletal Procedures | 29 | $33,918 | $6,886 |
| Level 3 Vascular Procedures | 28 | $17,101 | $3,155 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 22 | $48,621 | $5,988 |
| Level 1 Laparoscopy and Related Services | 20 | $29,897 | $5,483 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 14 | $36,075 | $3,773 |
| Level 2 Pacemaker and Similar Procedures | 14 | $40,006 | $8,408 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 12 | $14,941 | $2,812 |
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Anthonys Memorial Hospital charged $38,961 on average, 47% less than the Illinois average of $73,987, and was paid $17,731 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), St Anthonys Memorial Hospital charged $25,486 on average, 45% less than the Illinois average of $46,293, and was paid $11,106 against a state average of $11,813. For Simple Pneumonia and Pleurisy with MCC (DRG 193), St Anthonys Memorial Hospital charged $30,440 on average, 38% less than the Illinois average of $49,081, and was paid $11,496 against a state average of $11,857. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), St Anthonys Memorial Hospital charged $28,705 on average, 30% less than the Illinois average of $41,000, and was paid $8,676 against a state average of $9,886. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,221 was 20% below the state average of $21,498. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,917 was 60% below the state average of $14,917. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $18,203 was 23% below the state average of $23,744. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,048 was 15% below the state average of $11,818.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.