70/100
#655 nationally
St Anthonys Memorial Hospital
503 N Maple Street, Effingham, IL 62401 · (217) 342-2121
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, St Anthonys Memorial Hospital billed $3.29 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 47
- inpatient and outpatient combined
- Rank in IL
- #10
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 79% of U.S. hospitals.
Better than 64% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 54% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
460 | $17,221 | $2,700 | -11% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
273 | $5,917 | $2,286 | -50% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
193 | $38,961 | $17,731 | -40% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
110 | $25,486 | $11,106 | -41% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
94 | $18,203 | $3,451 | -12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
88 | $10,048 | $1,590 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
76 | $10,932 | $1,858 | -4% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
71 | $30,440 | $11,496 | -35% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
64 | $28,705 | $8,676 | -27% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
63 | $26,157 | $10,897 | -46% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$36,075 | $3,773 | +51% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$11,487 | $1,532 | +34% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$48,621 | $5,988 | +23% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$31,769 | $5,121 | +16% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$34,746 | $7,553 | +9% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$40,006 | $8,408 | +6% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,048 | $1,590 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$10,932 | $1,858 | -4% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$26,050 | $13,407 | -58% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$26,670 | $11,853 | -53% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$26,138 | $12,611 | -51% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$5,917 | $2,286 | -50% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$22,006 | $8,300 | -47% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$26,157 | $10,897 | -46% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$30,558 | $13,959 | -44% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$31,640 | $13,936 | -44% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.