Ot evaluation high complexity patient/family at MercyOne Genesis Aledo Medical Center
409 NW 9th Ave, Aledo, IL · MercyOne · · NPI 1225380967
$258.60
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.
$431.00
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.
$69.30 with Aetna vs $166.00 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 | $69.30 | ↓ -73% |
| UHC | Medicare Advantage | $70.84 | ↓ -73% |
| UHC | VACCN | $70.84 | ↓ -73% |
| Naphcare | All Products | $72.38 | ↓ -72% |
| Wellmark | Medicare Advantage | $72.38 | ↓ -72% |
| Wellmark | All Products | $89.32 | ↓ -65% |
| UHC | All Products | $112.42 | ↓ -57% |
| UHC | Deere Premiere_NonFacility | $165.52 | ↓ -36% |
| UHC | Deere Premiere_Facility | $166.00 | ↓ -36% |
Visitor-reported prices
Comments
Ot evaluation high complexity patient/family at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $249.00 | $44.80 – $278.27 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $100.00 | $100.32 – $166.00 |
| Advocate Christ Medical Center | Oak Lawn | $230.00 | $33.49 – $469.00 |
| Advocate Condell Medical Center | Libertyville | $230.00 | $33.49 – $295.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $230.00 | $33.49 – $469.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $241.64 | $87.28 – $156.21 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $100.00 | $100.32 – $166.00 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $342.65 | $102.47 – $107.59 |