Antipsychotics nos 1-3 at HSHS St. Joseph's Hospital
9515 Holy Cross Lane, Breese, IL · Hshs · · NPI 1457319154
$105.12
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.
$146.00
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.
$9.83 with MOLINA HEALTHCARE vs $146.00 with UNITED HEALTHCARE — 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 |
|---|---|---|---|
| MOLINA HEALTHCARE | MOLINA MEDICAID | $9.83 | ↓ -91% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $10.82 | ↓ -90% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $40.88 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $40.88 | ↓ -61% |
| AETNA | AETNA HSHS | $87.16 | ↓ -17% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $93.38 | ↓ -11% |
| AETNA | ALL COMMERCIAL AETNA | $102.05 | ↓ -3% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $107.75 | ↑ +3% |
| CIGNA | ALL COMMERCIAL CIGNA | $109.50 | ↑ +4% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $120.89 | ↑ +15% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $120.89 | ↑ +15% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $120.89 | ↑ +15% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $120.89 | ↑ +15% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $124.10 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $131.40 | ↑ +25% |
| LIVE360 | ALL COMMERCIAL LIVE360 | $146.00 | ↑ +39% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $146.00 | ↑ +39% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $146.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $146.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $146.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $146.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $146.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $146.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $146.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $146.00 | ↑ +39% |
| WEXFORD | WEXFORD HEALTH SOURCES | $146.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $146.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $146.00 | ↑ +39% |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL HMO PHAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
Visitor-reported prices
Comments
Antipsychotics nos 1-3 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $37.50 | $25.43 – $161.55 |
| Advocate Christ Medical Center | Oak Lawn | $345.00 | $72.63 – $228.00 |
| Advocate Condell Medical Center | Libertyville | $345.00 | $45.82 – $228.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $345.00 | $74.35 – $228.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $72.14 | $13.16 – $44.99 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $37.50 | $25.43 – $161.55 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $295.90 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $345.00 | $74.84 – $228.00 |