Upper Endoscopy (EGD, with biopsy) at OSF Saint Anthony's Health Center
1 St Anthony's Way, Alton, IL · Osfhealthcare · · NPI 1710396932
$916.20
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.
$1,527.00
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.
$338.75 with Aetna vs $1,982.00 with UnitedHealthCare — 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 | All Commercial Plans | $338.75 | ↓ -63% |
| Essence | Medicare Managed Care Plan | $971.94 | ↑ +6% |
| Aetna | Medicare Managed Care Plan | $981.66 | ↑ +7% |
| BCBS | Medicare Managed Care Plan | $991.38 | ↑ +8% |
| UnitedHealthCare | All Payor Other Commercial Plan | $1,716.00 | ↑ +87% |
| UnitedHealthCare | Options PPO | $1,982.00 | ↑ +116% |
Visitor-reported prices
Comments
Upper Endoscopy (EGD, with biopsy) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $204.60 | $313.72 – $988.61 |
| MercyOne Genesis Aledo Medical Center | Aledo | $204.60 | $2,677.41 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $10,335.13 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $914.40 | $123.53 – $729.38 |
| OSF Little Company of Mary Medical Center | Evergreen Park | $927.00 | $971.94 – $3,533.00 |
| OSF Saint Anthony Medical Center | Rockford | $1,250.40 | $372.15 – $4,932.00 |
| OSF St Joseph Medical Center | Bloomington | $3,504.60 | $971.94 – $4,652.00 |
| OSF Saint Elizabeth Medical Center | Ottawa | $796.80 | $971.94 – $991.38 |