Hospital · CCN 140032

St Anthonys Memorial Hospital

503 N Maple Street, Effingham, IL 62401 · Effingham County
Part of Hospital Sisters Health System · 133 beds · 2
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

30 admission types 37 outpatient services

Billed per dollar paid, all admissions

2.61×

$32.1M billed against $12.3M paid across 1,027 Medicare discharges; the national figure is 5.03×.

—

of adults in Effingham County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it

4.9%

uninsured in the county · state 7.7%

$72K

median household income

2.6×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

34.3%

obesity in the countyⓘ

11.3%

diagnosed diabetes (PLACES)

6.8%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

871

Septicemia or severe sepsis without mv >96 hours with mcc

193

$38,961

$17,731

2.2× st 4.2×

291

Heart failure and shock with mcc

110

$25,486

$11,106

2.3× st 3.9×

193

Simple pneumonia and pleurisy with mcc

$30,440

$11,496

2.6× st 4.2×

872

Septicemia or severe sepsis without mv >96 hours without mcc

$28,705

$8,676

3.3× st 4.2×

189

Pulmonary edema and respiratory failure

$26,157

$10,897

2.4× st 4.4×

177

Respiratory infections and inflammations with mcc

$30,558

$13,959

2.2× st 4.2×

698

Other kidney and urinary tract diagnoses with mcc

$31,640

$13,936

2.3× st 3.9×

689

Kidney and urinary tract infections with mcc

$26,205

$9,859

2.7× st 4.0×

481

Hip and femur procedures except major joint with cc

$60,851

$18,658

3.3× st 5.0×

690

Kidney and urinary tract infections without mcc

$23,548

$6,812

3.5× st 4.2×

603

Cellulitis without mcc

$26,364

$7,464

3.5× st 3.6×

522

Hip replacement with principal diagnosis of hip fracture without mcc

$59,319

$17,798

3.3× st 4.9×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$24,199

$6,626

3.7× st 4.3×

683

Renal failure with cc

$20,229

$7,554

2.7× st 4.1×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$22,169

$6,608

3.4× st 4.2×

312

Syncope and collapse

$24,740

$7,316

3.4× st 4.3×

190

Chronic obstructive pulmonary disease with mcc

$27,055

$9,339

2.9× st 4.3×

812

Red blood cell disorders without mcc

$24,996

$7,635

3.3× st 4.1×

389

Gastrointestinal obstruction with cc

$24,276

$6,735

3.6× st 4.1×

308

Cardiac arrhythmia and conduction disorders with mcc

$29,778

$10,162

2.9× st 4.2×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$32,258

$11,080

2.9× st 3.8×

378

Gastrointestinal hemorrhage with cc

$22,006

$8,300

2.7× st 4.5×

194

Simple pneumonia and pleurisy with cc

$34,746

$7,553

4.6× st 4.3×

065

Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours

$27,771

$8,550

3.2× st 5.0×

280

Acute myocardial infarction, discharged alive with mcc

$26,050

$13,407

1.9× st 4.4×

811

Red blood cell disorders with mcc

$26,670

$11,853

2.3× st 4.3×

699

Other kidney and urinary tract diagnoses with cc

$26,324

$8,613

3.1× st 3.8×

682

Renal failure with mcc

$26,138

$12,611

2.1× st 4.0×

638

Diabetes with cc

$19,456

$7,596

2.6× st 4.0×

637

Diabetes with mcc

$36,598

$12,240

3.0× st 4.3×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

8011

Comprehensive Observation Services

460

$17,221

$2,700

6.4×

5491

Level 1 Intraocular Procedures

273

$5,917

$2,286

2.6×

5374

Level 4 Urology and Related Services

$18,203

$3,451

5.3×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$10,048

$1,590

6.3×

5431

Level 1 Nerve Procedures

$10,932

$1,858

5.9×

5373

Level 3 Urology and Related Services

$10,447

$1,990

5.3×

5115

Level 5 Musculoskeletal Procedures

$49,083

$13,006

3.8×

5375

Level 5 Urology and Related Services

$31,769

$5,121

6.2×

5182

Level 2 Vascular Procedures

$11,487

$1,532

7.5×

5113

Level 3 Musculoskeletal Procedures

$12,443

$2,985

4.2×

5114

Level 4 Musculoskeletal Procedures

$33,918

$6,886

4.9×

5183

Level 3 Vascular Procedures

$17,101

$3,155

5.4×

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

$48,621

$5,988

8.1×

5361

Level 1 Laparoscopy and Related Services

$29,897

$5,483

5.5×

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

$36,075

$3,773

9.6×

5222

Level 2 Pacemaker and Similar Procedures

$40,006

$8,408

4.8×

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

$14,941

$2,812

5.3×

5414

Level 4 Gynecologic Procedures

—

5415

Level 5 Gynecologic Procedures

—

5493

Level 3 Intraocular Procedures

—

5372

Level 2 Urology and Related Services

—

5362

Level 2 Laparoscopy and Related Services

—

5378

Level 8 Urology and Related Services

—

5342

Level 2 Abdominal/Peritoneal/Biliary and Related Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5094

Level 4 Breast/Lymphatic Surgery and Related Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5155

Level 5 Airway Endoscopy

—

5163

Level 3 ENT Procedures

—

5164

Level 4 ENT Procedures

—

5184

Level 4 Vascular Procedures

—

5193

Level 3 Endovascular Procedures

—

5302

Level 2 Upper GI Procedures

—

5313

Level 3 Lower GI Procedures

—

5331

Complex GI Procedures

—

5093

Level 3 Breast/Lymphatic Surgery and Related Procedures

—

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.