Cath combo lt&rt heart w/inj/s at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$6,645.00
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.
$13,290.00
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.
$4,861.63 with Ambetter vs $18,102.00 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $4,861.63 | ↓ -27% |
| Molina | Medicare Advantage | $4,861.63 | ↓ -27% |
| Oscar Health HMO | Medicare Advantage | $5,029.28 | ↓ -24% |
| Advocate Employee | Commercial | $5,236.26 | ↓ -21% |
| HSTechnology | Medicare Advantage | $6,437.47 | ↓ -3% |
| Cigna One Health | Commercial | $6,910.80 | ↑ +4% |
| Aetna | Commercial | $7,169.96 | ↑ +8% |
| Private Healthcare Systems | Commercial | $7,176.60 | ↑ +8% |
| Cigna | Commercial | $7,974.00 | ↑ +20% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $8,000.58 | ↑ +20% |
| Blue Cross Blue Shield | HMO | $8,160.06 | ↑ +23% |
| Blue Cross Blue Shield City of Chicago | Commercial | $8,811.27 | ↑ +33% |
| United Healthcare Charter | Commercial | $9,155.00 | ↑ +38% |
| Blue Cross Blue Shield Choice | Commercial | $9,528.93 | ↑ +43% |
| Blue Cross Blue Shield | PPO | $10,020.66 | ↑ +51% |
| United Healthcare Nexus | Commercial | $10,607.00 | ↑ +60% |
| Multiplan | Commercial | $10,632.00 | ↑ +60% |
| United Healthcare Core Navigate | Commercial | $15,641.00 | ↑ +135% |
| United Healthcare | HMO | $18,102.00 | ↑ +172% |
Visitor-reported prices
Comments
Cath combo lt&rt heart w/inj/s at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | $3,970.00 | $3,128.36 – $18,102.00 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | not published | $6,773.00 – $6,773.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $10,615.80 | $2,435.39 – $16,277.56 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $2,375.00 | $3,401.16 – $5,628.06 |
| Advocate Christ Medical Center | Oak Lawn | $3,970.00 | $3,128.36 – $18,102.00 |
| Advocate Condell Medical Center | Libertyville | $5,910.00 | $4,657.08 – $11,479.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $4,065.00 | $3,203.22 – $18,102.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $9,401.56 | $272.33 – $5,182.61 |