Franciscan Health Olympia & Chicago Heights
20201 S Crawford Avenue, Olympia Fields, IL 60461 · 113 Priced Procedures · 59% Patient Recommendation
Typical commercial prices here are +67% above the fair benchmark (1.67×) even after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 1.67× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Franciscan Health Olympia & Chicago Heights prices routine shoppable procedures at 2.2× Medicare (median 1.64× Fair BaseRate) while upper-quartile commercial rates jump +32% to 2.16× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.45× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 76% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (57/100 safety score) with 59% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.7% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.7× markup over Medicare rates
- Commercial insurance median sits at 1.64× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.16×) jump +32% above the median procedure ratio (Q50 1.64×)
- Unnegotiated chargemaster list prices average 14.9× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Franciscan Health Olympia & Chicago Heights
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $43,255 | 1.4× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $41,186 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $40,905 | unverified |
| Total hip replacement CPT Code: 27130 | $30,182 | unverified |
| Total knee replacement CPT Code: 27447 | $30,182 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $23,607 | 1.3× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $14,212 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,439 | 1.3× |
| Breast lump removal CPT Code: 19120 | $9,205 | unverified |
| Bunion correction surgery CPT Code: 28296 | $8,648 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $8,417 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $7,692 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $3,243 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $2,813 | 2.2× |
| Injection procedure for pain management HCPCS Code: G0260 | $2,431 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $2,019 | 2.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,285 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,114 | 1.1× |
| Blood transfusion CPT Code: 36430 | $1,037 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $831 | 2.3× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $820 | 1.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $820 | 1.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $561 | 1.9× |
| MRI, brain (no contrast) CPT Code: 70551 | $561 | 1.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $511 | 1.5× |
Audit a Bill or Quote at Franciscan Health Olympia & Chicago Heights (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $40,523
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.7% of gross = $40,523).
Self-Pay Cash Rate ($25,903) Beats Your Bill
Franciscan Health Olympia & Chicago Heights's published 45 CFR § 180 self-pay cash rate is $25,903 (vs. $43,255 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($116,679) is $85,904 above the denoised Fair BaseRate ($30,775) and 5.0× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (34.7% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (489 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Franciscan Health Olympia & Chicago Heights.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.