How many shoppable procedure prices are published for West Suburban Medical Center?

West Suburban Medical Center in Oak Park, IL currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do West Suburban Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, West Suburban Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is West Suburban Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns West Suburban Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 135 Beds · urban Updated: 2025-03-17

West Suburban Medical Center

3 Erie Court, Oak Park, IL 60302 · 124 Priced Procedures · 48% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 28% of the Time

File Completeness51

Price Logic98

Peer Alignment77

Clean Billing80

Real Cash Discount100

Regional Benchmark Tier

1-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

West Suburban Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.96× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#31 of 126 in IL · 23rd State Percentile#708 of 3,385 in U.S. · 20th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 28% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 48% patient recommendation (41/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 0.96× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.91× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 16.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

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

Quantile Tail Spread+4% Upper Tail

Q25 0.85× · Q50 0.96× · Q75 1.00×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.7× MedicareWatchout

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

0.8× MedicareGood

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

28% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 41/100Watchout

Procedure Prices at West Suburban Medical Center

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`	—	$29,157	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,280	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,607	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$17,936	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$13,413	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$13,413	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,894	$8,223	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,082	$6,109	1.0×
Breast lump removal CPT Code: `19120`	—	$3,992	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,679	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,382	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,382	$3,446	1.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,377	$2,540	0.9×
Trauma team activation HCPCS Code: `G0390`	—	$1,379	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,229	$1,256	1.0×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,061	$1,021	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	—	$977	$987	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$950	$981	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,216	$799	$583	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$541	$722	$855	0.8×
Blood transfusion CPT Code: `36430`	$511	$456	$498	0.9×
Psychological testing by technician CPT Code: `96138`	—	$416	$395	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,079	$372	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,886	$372	$511	0.7×
Neurobehavioral status check CPT Code: `96116`	—	$325	$231	1.4×
Rabies immune globulin HCPCS Code: `90375`	—	$288	$322	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$435	$252	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,535	$252	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,598	$252	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,779	$252	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,553	$252	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$137	$212	$201	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$81	$167	$166	1.0×
Family therapy session CPT Code: `90847`	$101	$167	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$167	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$153	$167	$185	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,409	$186	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,442	$186	$258	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$87	$134	$87	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$136	$134	$110	1.2×
Care planning with family CPT Code: `90887`	—	$124	$107	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$132	$134	$123	1.1×
Psychological testing evaluation CPT Code: `96136`	—	$134	$128	1.0×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$140	$151	0.9×
X-ray, pelvis CPT Code: `72170`	$258	$111	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$106	$92	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$295	$92	$92	1.0×
X-ray, foot CPT Code: `73630`	$181	$92	$92	1.0×
X-ray, lower back CPT Code: `72110`	$379	$111	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$106	$92	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$310	$92	$93	1.0×
X-ray, hand CPT Code: `73130`	$234	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$123	$92	$93	1.0×
X-ray, ankle CPT Code: `73610`	$181	$92	$93	1.0×
Group therapy session CPT Code: `90853`	$187	$96	$100	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$403	$111	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$831	$111	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$541	$111	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$493	$111	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,173	$111	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$867	$111	$163	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$426	$100	$148	0.7×
CT scan, sinuses CPT Code: `70486`	$1,173	$111	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$898	$111	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,406	$111	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,351	$111	$169	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$277	$83	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	—	$350	$347	1.0×
Drug screening test HCPCS Code: `G0480`	$40	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$74	$64	$48	1.3×
Pneumonia vaccine injection HCPCS Code: `G0009`	$58	$64	$49	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$74	$64	$49	1.3×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$82	$82	$203	0.4×
Blood antibody screen CPT Code: `86850`	$85	$56	$46	1.2×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$17	$46	$39	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$37	$58	$56	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$134	$62	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$172	$73	$86	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$33	$25	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$151	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$58	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$54	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$154	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$150	$30	$31	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$39	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$54	$44	$51	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	—	$31	$37	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$48	$48	$111	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$64	$3	$3	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$48	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$109	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$85	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$43	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$41	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$37	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$50	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$89	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$67	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$77	$9	$9	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$103	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$137	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$154	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$259	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$136	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$138	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$128	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$286	$8	$9	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$59	$31	$35	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$22	$25	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$66	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$34	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$77	$28	$33	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$56	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$33	$40	0.8×
Blood test, amylase CPT Code: `82150`	$69	$6	$7	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$71	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$63	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$46	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$64	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$22	$2	$3	0.7×

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at West Suburban Medical Center (Zero PHI Required)

CMS CCN: 140049

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $29,157

1. Amount on Your Bill or Quote ($) Pre-filled with West Suburban Medical Center’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask West Suburban Medical Center'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 +$39,202 Above Fair BaseRate

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

Your bill ($69,977) is $39,202 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify West Suburban Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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 Overall1/5 Stars (1/5)

Safety Composite41/100

Would Recommend48%

Rated 9 or 10 (HCAHPS)52%

Median ER Wait271 min

Left ER Before Seen5%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionworse

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at West Suburban Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-14·administrative_or_closure
Closure Notice
Recorded
2025-03-13·cap_corrective_action
CAP Request
Recorded
2024-12-03·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (376 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

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for West Suburban Medical Center.

Price Index: 0.78× regional baseline

Quality: 19/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

+66.1%

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 81/100 · Corroborated CMS CCN 140049

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 140049) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-03-17

Validated Rate Rows2,729 (CMS v2.0.0)

File Integrity DigestVerified · CCN 140049

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.

Submit MRF Update Correction Policy