Biopsy of heart lining at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$3,590.00
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.
$7,180.00
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.
$2,828.92 with Advocate Employee vs $17,439.00 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 | $2,828.92 | ↓ -21% |
| Cigna One Health | Commercial | $3,733.60 | ↑ +4% |
| Aetna | Commercial | $3,873.61 | ↑ +8% |
| Private Healthcare Systems | Commercial | $3,877.20 | ↑ +8% |
| Cigna | Commercial | $4,308.00 | ↑ +20% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $4,322.36 | ↑ +20% |
| Blue Cross Blue Shield | HMO | $4,408.52 | ↑ +23% |
| Blue Cross Blue Shield City of Chicago | Commercial | $4,739.49 | ↑ +32% |
| Molina | Medicare Advantage | $4,757.47 | ↑ +33% |
| Ambetter | Medicare Advantage | $4,757.47 | ↑ +33% |
| Oscar Health HMO | Medicare Advantage | $4,921.53 | ↑ +37% |
| Blue Cross Blue Shield Choice | Commercial | $5,122.83 | ↑ +43% |
| Blue Cross Blue Shield | PPO | $5,393.88 | ↑ +50% |
| Multiplan | Commercial | $5,744.00 | ↑ +60% |
| HSTechnology | Medicare Advantage | $6,299.55 | ↑ +75% |
| United Healthcare Charter | Commercial | $8,821.00 | ↑ +146% |
| United Healthcare Nexus | Commercial | $10,219.00 | ↑ +185% |
| United Healthcare Core Navigate | Commercial | $15,068.00 | ↑ +320% |
| United Healthcare | HMO | $17,439.00 | ↑ +386% |
Visitor-reported prices
Comments
Biopsy of heart lining at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | not published | $4,708.51 – $17,439.00 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | not published | $1,881.00 – $2,781.60 |
| MercyOne Genesis Silvis Medical Center | Silvis | $3,648.60 | $1,945.92 – $5,594.52 |
| Advocate Christ Medical Center | Oak Lawn | $3,035.00 | $2,391.58 – $17,439.00 |
| Advocate Condell Medical Center | Libertyville | $4,895.00 | $2,902.06 – $9,476.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $3,390.00 | $2,671.32 – $17,439.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,276.64 | $196.63 – $2,448.63 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $2,781.90 | $3,383.62 – $3,552.80 |