Closed tx humerus fx with manip 23605 at HSHS St. Joseph's Hospital
9515 Holy Cross Lane, Breese, IL · Hshs · · NPI 1457319154
$3,744.72
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.
$5,201.00
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.
$389.00 with CATERPILLAR, INC. vs $5,201.00 with WEXFORD — 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 |
|---|---|---|---|
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $389.00 | ↓ -90% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $389.00 | ↓ -90% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $398.66 | ↓ -89% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $438.53 | ↓ -88% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $1,456.28 | ↓ -61% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $1,456.28 | ↓ -61% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $1,723.15 | ↓ -54% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $1,723.15 | ↓ -54% |
| AETNA | AETNA MEDICARE | $1,723.15 | ↓ -54% |
| HUMANA | HUMANA MEDICARE | $1,723.15 | ↓ -54% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $1,723.15 | ↓ -54% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $1,723.15 | ↓ -54% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $1,723.15 | ↓ -54% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $1,723.15 | ↓ -54% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $1,723.15 | ↓ -54% |
| AETNA | AETNA HSHS | $3,105.00 | ↓ -17% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $3,326.56 | ↓ -11% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $3,618.62 | ↓ -3% |
| AETNA | ALL COMMERCIAL AETNA | $3,635.50 | ↓ -3% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $3,790.94 | ↑ +1% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3,838.34 | ↑ +3% |
| CIGNA | ALL COMMERCIAL CIGNA | $3,900.75 | ↑ +4% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $4,306.43 | ↑ +15% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $4,306.43 | ↑ +15% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $4,306.43 | ↑ +15% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $4,306.43 | ↑ +15% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $4,307.88 | ↑ +15% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $4,307.88 | ↑ +15% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $4,420.85 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $4,680.90 | ↑ +25% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $5,201.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $5,201.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $5,201.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $5,201.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $5,201.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $5,201.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $5,201.00 | ↑ +39% |
| LIVE360 | ALL COMMERCIAL LIVE360 | $5,201.00 | ↑ +39% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $5,201.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $5,201.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $5,201.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $5,201.00 | ↑ +39% |
| WEXFORD | WEXFORD HEALTH SOURCES | $5,201.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | 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 | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
Visitor-reported prices
Comments
Closed tx humerus fx with manip 23605 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $871.80 | $478.73 – $1,336.76 |
| MercyOne Genesis Aledo Medical Center | Aledo | $871.80 | $1,296.52 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $1,785.00 | $1,406.58 – $3,203.13 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,785.00 | $1,406.58 – $3,203.13 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,291.20 | $393.30 – $1,245.06 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $2,132.35 | $1,723.15 – $1,809.31 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,785.00 | $1,406.58 – $3,203.13 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $1,785.00 | $1,406.58 – $12,362.00 |