healthcosts.net
Established Patient Office Visit (level 4) at MercyOne Genesis Aledo Medical Center
409 NW 9th Ave, Aledo, IL · MercyOne · · NPI 1225380967
$145.80
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.
?
What you pay up front if you don't use insurance.
$243.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$103.05 with Aetna vs $175.79 with UHC — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $103.05 | ↓ -29% |
| UHC | Medicare Advantage | $105.34 | ↓ -28% |
| UHC | VACCN | $105.34 | ↓ -28% |
| Naphcare | All Products | $107.63 | ↓ -26% |
| Wellmark | Medicare Advantage | $107.63 | ↓ -26% |
| UHC | Deere Premiere_Facility | $127.00 | ↓ -13% |
| Wellmark | All Products | $132.82 | ↓ -9% |
| UHC | All Products | $167.17 | ↑ +15% |
| UHC | Deere Premiere_NonFacility | $175.79 | ↑ +21% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $145.80 | $68.61 – $210.68 |
| Advocate Christ Medical Center | Oak Lawn | $177.50 | $105.00 – $284.00 |
| Advocate Condell Medical Center | Libertyville | $177.50 | $105.00 – $284.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $177.50 | $84.00 – $284.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $192.00 | $88.83 – $215.71 |
| Advocate Illinois Masonic Medical Center | Chicago | $177.50 | $105.00 – $284.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $177.50 | $105.00 – $284.00 |
| Advocate Sherman Hospital | Elgin | $177.50 | $105.00 – $319.50 |