Biopsy skin incisional single lesion at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$192.50
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.
$385.00
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.
$151.69 with Advocate Employee vs $6,071.00 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 | $151.69 | ↓ -21% |
| Cigna One Health | Commercial | $200.20 | ↑ +4% |
| Aetna | Commercial | $207.71 | ↑ +8% |
| Private Healthcare Systems | Commercial | $207.90 | ↑ +8% |
| Cigna | Commercial | $231.00 | ↑ +20% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $231.77 | ↑ +20% |
| Blue Cross Blue Shield | HMO | $236.39 | ↑ +23% |
| Blue Cross Blue Shield City of Chicago | Commercial | $255.26 | ↑ +33% |
| Blue Cross Blue Shield Choice | Commercial | $276.05 | ↑ +43% |
| Blue Cross Blue Shield | PPO | $290.29 | ↑ +51% |
| Multiplan | Commercial | $308.00 | ↑ +60% |
| Ambetter | Medicare Advantage | $925.24 | ↑ +381% |
| Molina | Medicare Advantage | $925.24 | ↑ +381% |
| Oscar Health HMO | Medicare Advantage | $957.14 | ↑ +397% |
| HSTechnology | Medicare Advantage | $1,225.15 | ↑ +536% |
| United Healthcare Charter | Commercial | $3,070.00 | ↑ +1495% |
| United Healthcare Nexus | Commercial | $3,558.00 | ↑ +1748% |
| United Healthcare Core Navigate | Commercial | $5,246.00 | ↑ +2625% |
| United Healthcare | HMO | $6,071.00 | ↑ +3054% |
Visitor-reported prices
Comments
Biopsy skin incisional single lesion at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | $365.00 | $287.62 – $6,071.00 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | not published | $638.10 – $1,033.72 |
| MercyOne Genesis Silvis Medical Center | Silvis | $246.00 | $377.20 – $424.56 |
| MercyOne Genesis Aledo Medical Center | Aledo | $246.00 | $1,149.82 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $325.00 | $775.37 – $1,283.05 |
| Advocate Christ Medical Center | Oak Lawn | $390.00 | $307.32 – $6,071.00 |
| Advocate Condell Medical Center | Libertyville | $690.00 | $543.72 – $4,681.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $382.50 | $301.41 – $6,071.00 |