Physical Therapy Evaluation (high complexity) at HSHS St. Joseph's Hospital
9515 Holy Cross Lane, Breese, IL · Hshs · · NPI 1457319154
$520.56
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.
?
What you pay up front if you don't use insurance.
$723.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$94.52 with BLUE CROSS BLUE SHIELD OF ILLINOIS vs $723.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $94.52 | ↓ -82% |
| SAE HOSPICE | SAE MEMORIAL HOSPICE | $94.52 | ↓ -82% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $94.52 | ↓ -82% |
| AETNA | AETNA MEDICARE | $94.52 | ↓ -82% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $94.52 | ↓ -82% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $94.52 | ↓ -82% |
| HUMANA | HUMANA MEDICARE | $94.52 | ↓ -82% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $94.52 | ↓ -82% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $94.52 | ↓ -82% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $164.26 | ↓ -68% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $180.68 | ↓ -65% |
| NAPHCARE | ALL COMMERICAL NAPHCARE | $198.49 | ↓ -62% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $202.44 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $202.44 | ↓ -61% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $207.94 | ↓ -60% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $236.30 | ↓ -55% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $236.30 | ↓ -55% |
| CIGNA | ALL COMMERCIAL CIGNA | $300.00 | ↓ -42% |
| AETNA | AETNA HSHS | $431.63 | ↓ -17% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $462.43 | ↓ -11% |
| AETNA | ALL COMMERCIAL AETNA | $505.38 | ↓ -3% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $533.57 | ↑ +2% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $583.46 | ↑ +12% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $583.46 | ↑ +12% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $598.64 | ↑ +15% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $598.64 | ↑ +15% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $598.64 | ↑ +15% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $598.64 | ↑ +15% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $614.55 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $650.70 | ↑ +25% |
| WEXFORD | WEXFORD HEALTH SOURCES | $723.00 | ↑ +39% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $723.00 | ↑ +39% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $723.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $723.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $723.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $723.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $723.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $723.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $723.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $723.00 | ↑ +39% |
| LIVE360 | ALL COMMERCIAL LIVE360 | $723.00 | ↑ +39% |
| LIVE360 | LIVE360 HSHS HEALTHY PLAN | $723.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $723.00 | ↑ +39% |
| 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 IL BLUE CHOICE PLANS | 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 SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
Visitor-reported prices
Comments
Physical Therapy Evaluation (high complexity) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $272.40 | $48.64 – $289.71 |
| MercyOne Genesis Aledo Medical Center | Aledo | $272.40 | $75.15 – $78.49 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $106.25 | $92.07 – $152.34 |
| Advocate Christ Medical Center | Oak Lawn | $212.50 | $33.49 – $469.00 |
| Northwestern Memorial Hospital | Chicago | $446.60 | not published |
| Advocate Condell Medical Center | Libertyville | $212.50 | $33.49 – $295.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $212.50 | $33.49 – $469.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $241.64 | $82.70 – $154.74 |