How many shoppable procedure prices are published for Northshore University Healthsystem - Evanston Hospital?

Northshore University Healthsystem - Evanston Hospital in Evanston, IL currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Northshore University Healthsystem - Evanston Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Northshore University Healthsystem - Evanston Hospital's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

What is Northshore University Healthsystem - Evanston Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Northshore University Healthsystem - Evanston Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 674 Beds · urban Updated: 2026-04-01

Northshore University Healthsystem - Evanston Hospital

2650 Ridge Ave, Evanston, IL 60201 · 124 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

High Markup · Shop Alternatives

1.87×vs. Fair Market Price

Typical commercial prices here are +87% above the fair benchmark (1.87×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness85

Price Logic65

Peer Alignment75

Clean Billing79

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.87× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +52% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Northshore University Healthsystem - Evanston Hospital prices routine shoppable procedures at 2.6× Medicare (median 1.90× Fair BaseRate) while upper-quartile commercial rates jump +52% to 2.89× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#111 of 126 in IL · 87th State Percentile#2,997 of 3,385 in U.S. · 88th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.05× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 4% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 70% patient recommendation (69/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.7% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.8× markup over Medicare rates
Commercial insurance median sits at 1.90× Fair BaseRate (2.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.89×) jump +52% above the median procedure ratio (Q50 1.90×)
Unnegotiated chargemaster list prices average 9.5× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.42× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+52% Upper Tail

Q25 1.05× · Q50 1.90× · Q75 2.89×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.6× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.8× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.8× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.7× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.7× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.6× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

4% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 69/100Fair

Procedure Prices at Northshore University Healthsystem - Evanston Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$29,719	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,081	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,958	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,459	$17,936	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$12,153	$2,975	unverified
Total hip replacement CPT Code: `27130`	—	$10,156	$13,413	0.8×
Total knee replacement CPT Code: `27447`	—	$10,156	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,572	$8,223	0.9×
Vaginal delivery (full package) CPT Code: `59400`	$7,038	$7,038	$2,680	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,479	$6,109	1.1×
Breast lump removal CPT Code: `19120`	—	$4,196	$3,875	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$3,837	$3,629	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,548	$3,372	1.1×
Bunion correction surgery CPT Code: `28296`	—	$3,506	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,380	$2,540	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$4,927	$2,667	$1,021	2.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,990	$2,254	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,692	$1,493	$448	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$1,464	$1,256	1.2×
Trauma team activation HCPCS Code: `G0390`	$7,613	$1,428	$1,453	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$3,787	$1,392	$343	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,268	$981	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$3,669	$1,184	$369	3.2×
Injection procedure for pain management HCPCS Code: `G0260`	$2,011	$1,074	$855	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$3,908	$1,042	$338	3.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$972	$987	1.0×
Rabies immune globulin HCPCS Code: `90375`	$1,160	$906	$322	2.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,609	$857	$272	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,756	$757	$583	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,726	$693	$303	2.3×
CT scan, sinuses CPT Code: `70486`	$1,893	$596	$166	3.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$568	$568	$86	6.6×
CT scan, pelvis CPT Code: `72192`	$2,114	$558	$163	3.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,843	$560	$167	3.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,403	$585	$258	2.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$542	$542	$148	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,453	$485	$242	2.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,276	$510	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$658	$474	$130	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,579	$425	$169	2.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,841	$422	$168	2.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$634	$424	$132	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$422	$422	$123	unverified
Blood transfusion CPT Code: `36430`	$858	$393	$498	0.8×
Psychiatric evaluation (first visit) CPT Code: `90791`	$369	$369	$185	unverified
CT scan, head (no contrast) CPT Code: `70450`	$2,063	$339	$160	2.1×
Speech therapy (language evaluation) CPT Code: `92507`	$355	$355	$86	unverified
Neurobehavioral status check CPT Code: `96116`	$314	$314	$231	1.4×
New patient office visit (30-44 min) CPT Code: `99203`	—	$328	$110	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$557	$302	$126	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$290	$290	$181	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$280	$280	$123	unverified
X-ray, lower back CPT Code: `72110`	$694	$253	$112	2.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$253	$253	$166	unverified
Family therapy session CPT Code: `90847`	$237	$237	$173	unverified
Psychological testing by technician CPT Code: `96138`	$399	$205	$395	0.5×
Care planning with family CPT Code: `90887`	$216	$216	$107	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$225	$225	$87	unverified
X-ray, hip CPT Code: `73502`	$453	$183	$93	2.0×
Speech therapy (group session) CPT Code: `92508`	$148	$148	$27	5.5×
Orthotic fitting and training CPT Code: `97760`	$183	$153	$51	3.0×
X-ray, shoulder CPT Code: `73030`	$491	$167	$92	1.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$107	$25	4.3×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$120	$35	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$169	$113	$38	3.0×
Prosthetic fitting and training CPT Code: `97761`	$131	$132	$45	2.9×
X-ray, ankle CPT Code: `73610`	$453	$144	$93	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$514	$142	$93	1.5×
X-ray, hand CPT Code: `73130`	$453	$140	$93	1.5×
X-ray, foot CPT Code: `73630`	$453	$133	$92	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$142	$101	$35	2.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$144	$107	$38	2.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$165	$106	$38	2.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$221	$107	$40	2.7×
Group therapy session CPT Code: `90853`	$222	$113	$100	1.1×
Psychological testing evaluation CPT Code: `96136`	$128	$128	$128	1.0×
Physical therapy (gait training) CPT Code: `97116`	$142	$92	$33	2.8×
X-ray, chest (two views) CPT Code: `71046`	$453	$115	$93	1.2×
X-ray, chest (single view) CPT Code: `71045`	$369	$91	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$435	$105	$110	1.0×
Typhoid vaccine HCPCS Code: `90675`	$1,031	$1,031	$347	unverified
Culture, blood CPT Code: `87040`	$297	$297	$11	27.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$300	$300	$111	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$316	$316	$203	unverified
Culture, bacterial CPT Code: `87070`	$266	$266	$9	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$220	$220	$14	15.7×
Blood test, vitamin B12 CPT Code: `82607`	$199	$199	$16	12.4×
Blood test, liver function panel CPT Code: `80076`	$172	$172	$9	19.1×
Blood test, vitamin D CPT Code: `82306`	$193	$193	$31	6.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$202	$202	$18	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$202	$202	$140	unverified
Drug screening test HCPCS Code: `G0480`	$200	$200	$116	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$162	$162	$9	18.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$162	$162	$19	8.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$119	$119	$6	19.8×
Hepatitis B vaccine HCPCS Code: `90744`	$137	$104	$37	2.8×
Blood test, magnesium CPT Code: `83735`	$121	$121	$7	unverified
Hepatitis C antibody test CPT Code: `86803`	$138	$138	$15	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$155	$155	$56	unverified
Blood test, lipase CPT Code: `83690`	$123	$123	$7	17.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$118	$118	$11	10.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$92	$92	$3	30.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$88	$88	$4	22.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$92	$92	$14	unverified
Blood test, amylase CPT Code: `82150`	$110	$110	$7	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$98	$98	$10	unverified
Blood test, sodium CPT Code: `84295`	$101	$101	$5	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$106	$106	$8	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$53	$53	$4	13.3×
Physical therapy (manual therapy) CPT Code: `97140`	$141	$65	$34	1.9×
Blood test, calcium CPT Code: `82310`	$67	$67	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$78	$78	$5	unverified
Blood test, potassium CPT Code: `84132`	$67	$67	$5	unverified
Blood test, hemoglobin CPT Code: `85018`	$31	$31	$3	10.3×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$30	$14	2.1×
Flu vaccine (high dose) HCPCS Code: `90656`	$88	$37	$25	1.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$50	$50	$39	1.3×
Flu vaccine injection HCPCS Code: `G0008`	$74	$51	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$74	$51	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$74	$51	$49	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$218	$39	$64	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$221	$58	$201	0.3×
Blood antibody screen CPT Code: `86850`	$155	$27	$46	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$33	$33	$5	unverified

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 32.7%

Audit a Bill or Quote at Northshore University Healthsystem - Evanston Hospital (Zero PHI Required)

CMS CCN: 140010

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $29,719

1. Amount on Your Bill or Quote ($) Pre-filled with Northshore University Healthsystem - Evanston Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $23,295 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $23,295

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (32.7% of gross = $23,295).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Northshore University Healthsystem - Evanston Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$40,551 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($71,326) is $40,551 above the denoised Fair BaseRate ($30,775) and 3.0× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 362167060

Filing Period: 199610

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (32.7% 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)68%

Median ER Wait265 min

Left ER Before Seen10%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate2.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (3,748 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Northshore University Healthsystem - Evanston Hospital.

Price Index: 1.25× regional baseline

Quality: 70/100 CMS composite

Median Household Income$81,797U.S. Census ACS

Local Uninsured Share9.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 80/100 · Corroborated CMS CCN 140010 EIN 362167060

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 140010) ↗ Verify IRS Form 990 (EIN 362167060) ↗ CMS HCRIS Cost Reports ↗

Published MRF File362167060_evanston-hospital_standardcharges.csv

Publication / Vintage2026-04-01 · 153.67 MB

Validated Rate Rows407 (CMS v3.0.0)

File Integrity Digest340a77dbe8940335d14c…

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.

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