Knee Arthroscopy (Meniscus Trimming) at HSHS St. Joseph's Hospital
9515 Holy Cross Lane, Breese, IL · Hshs · · NPI 1457319154
not published by hospital
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.
not published by hospital
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.
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 | AETNA HSHS | not published by hospital | — |
| AETNA | AETNA MEDICARE | not published by hospital | — |
| AETNA | ALL COMMERCIAL AETNA | not published by hospital | — |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | not published by hospital | — |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | 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 | BCBS IL HMO PHAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | 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 | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | not published by hospital | — |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | not published by hospital | — |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | not published by hospital | — |
| CIGNA | ALL COMMERCIAL CIGNA | not published by hospital | — |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | not published by hospital | — |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | not published by hospital | — |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | not published by hospital | — |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | not published by hospital | — |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | not published by hospital | — |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | not published by hospital | — |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | not published by hospital | — |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | not published by hospital | — |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | not published by hospital | — |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | not published by hospital | — |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | not published by hospital | — |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | not published by hospital | — |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | not published by hospital | — |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | not published by hospital | — |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | not published by hospital | — |
| HUMANA | HUMANA MEDICARE | not published by hospital | — |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | not published by hospital | — |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | not published by hospital | — |
| LIVE360 | ALL COMMERCIAL LIVE360 | not published by hospital | — |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | not published by hospital | — |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | not published by hospital | — |
| MOLINA HEALTHCARE | MOLINA MEDICAID | not published by hospital | — |
| MOLINA HEALTHCARE | MOLINA MEDICARE | not published by hospital | — |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | not published by hospital | — |
| NAPHCARE | ALL COMMERICAL NAPHCARE | not published by hospital | — |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | not published by hospital | — |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | not published by hospital | — |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | not published by hospital | — |
| UNITED HEALTHCARE | UHC MEDICAID | not published by hospital | — |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | not published by hospital | — |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | not published by hospital | — |
| WEXFORD | WEXFORD HEALTH SOURCES | not published by hospital | — |
Visitor-reported prices
Comments
Knee Arthroscopy (Meniscus Trimming) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $755.40 | $1,158.28 – $2,136.26 |
| MercyOne Genesis Aledo Medical Center | Aledo | $755.40 | $2,970.16 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $25,663.99 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $2,659.20 | $490.70 – $2,524.18 |
| OSF Saint Anthony Medical Center | Rockford | $1,216.80 | $588.89 – $12,272.18 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $25,663.99 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $22,713.54 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $22,318.87 | not published |