Athrectomy fem/pop/unilateral 37225 at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$11,440.00
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.
$22,880.00
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.
$9,014.72 with Advocate Employee vs $47,462.00 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 |
|---|---|---|---|
| Advocate Employee | Commercial | $9,014.72 | ↓ -21% |
| Cigna One Health | Commercial | $11,897.60 | ↑ +4% |
| Aetna | Commercial | $12,343.76 | ↑ +8% |
| Private Healthcare Systems | Commercial | $12,355.20 | ↑ +8% |
| Cigna | Commercial | $13,728.00 | ↑ +20% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $13,773.76 | ↑ +20% |
| Blue Cross Blue Shield | HMO | $14,048.32 | ↑ +23% |
| Blue Cross Blue Shield City of Chicago | Commercial | $15,169.44 | ↑ +33% |
| Blue Cross Blue Shield Choice | Commercial | $16,404.96 | ↑ +43% |
| Blue Cross Blue Shield | PPO | $17,251.52 | ↑ +51% |
| Multiplan | Commercial | $18,304.00 | ↑ +60% |
| United Healthcare Charter | Commercial | $24,003.00 | ↑ +110% |
| Ambetter | Medicare Advantage | $27,141.74 | ↑ +137% |
| Molina | Medicare Advantage | $27,141.74 | ↑ +137% |
| United Healthcare Nexus | Commercial | $27,813.00 | ↑ +143% |
| Oscar Health HMO | Medicare Advantage | $28,077.67 | ↑ +145% |
| HSTechnology | Medicare Advantage | $35,939.41 | ↑ +214% |
| United Healthcare Core Navigate | Commercial | $41,007.00 | ↑ +258% |
| United Healthcare | HMO | $47,462.00 | ↑ +315% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | $9,380.00 | $7,391.44 – $47,462.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $13,636.20 | $1,476.60 – $28,077.67 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $6,125.00 | $5,580.00 – $6,594.00 |
| Advocate Christ Medical Center | Oak Lawn | $7,400.00 | $5,831.20 – $47,462.00 |
| Advocate Condell Medical Center | Libertyville | $10,735.00 | $8,459.18 – $35,939.41 |
| Advocate Good Samaritan Hospital | Downers Grove | $10,945.00 | $8,624.66 – $47,462.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $54,692.80 | $510.05 – $14,906.95 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $6,125.00 | $5,580.00 – $6,594.00 |