Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at MercyOne Genesis Aledo Medical Center
409 NW 9th Ave, Aledo, IL · MercyOne · · NPI 1225380967
$1,000.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,667.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$621.90 with Aetna vs $1,008.86 with UHC — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Aetna | Medicare Advantage | $621.90 | ↓ -38% |
| UHC | VACCN | $635.72 | ↓ -36% |
| UHC | Medicare Advantage | $635.72 | ↓ -36% |
| Wellmark | Medicare Advantage | $649.54 | ↓ -35% |
| Naphcare | All Products | $649.54 | ↓ -35% |
| Wellmark | All Products | $801.56 | ↓ -20% |
| UHC | All Products | $1,008.86 | ↑ +1% |
| UHC | Deere Premiere_NonFacility | not published by hospital | — |
| UHC | Deere Premiere_Facility | not published by hospital | — |
Visitor-reported prices
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Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $873.00 | $421.12 – $2,573.12 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $225.00 | $742.91 – $1,229.33 |
| Advocate Christ Medical Center | Oak Lawn | $1,830.00 | $1,063.48 – $6,071.00 |
| Advocate Condell Medical Center | Libertyville | $1,620.00 | $1,063.48 – $4,681.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,130.00 | $890.44 – $6,071.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,293.12 | $65.83 – $712.83 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $225.00 | $742.91 – $1,229.33 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $996.60 | $758.85 – $796.79 |