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Annual Physical, Established Patient (age 18-39) at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
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.
$577.89 with Blue Cross Blue Shield City of Chicago vs $657.68 with Blue Cross Blue Shield — 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 |
|---|---|---|---|
| Blue Cross Blue Shield City of Chicago | Commercial | $577.89 | — |
| Blue Cross Blue Shield Choice | Commercial | $624.63 | — |
| Blue Cross Blue Shield | PPO | $657.68 | — |
Visitor-reported prices
Comments
Annual Physical, Established Patient (age 18-39) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | not published | $574.11 – $653.43 |
| MercyOne Genesis Silvis Medical Center | Silvis | $226.80 | $120.96 – $308.07 |
| MercyOne Genesis Aledo Medical Center | Aledo | $155.40 | $259.00 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $212.80 | $123.90 – $202.20 |
| Advocate Christ Medical Center | Oak Lawn | not published | $560.89 – $638.32 |
| Advocate Condell Medical Center | Libertyville | not published | $353.84 – $402.52 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $574.11 – $653.43 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $568.92 – $647.29 |