Determine refractive state at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$30.00
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.
$60.00
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.
$20.94 with United Healthcare Charter vs $208.18 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 |
|---|---|---|---|
| United Healthcare Charter | Commercial | $20.94 | ↓ -30% |
| Advocate Employee | Commercial | $23.64 | ↓ -21% |
| United Healthcare Nexus | Commercial | $24.24 | ↓ -19% |
| Aetna | Commercial | $32.37 | ↑ +8% |
| Private Healthcare Systems | Commercial | $32.40 | ↑ +8% |
| United Healthcare Core Navigate | Commercial | $35.76 | ↑ +19% |
| United Healthcare | HMO | $41.40 | ↑ +38% |
| Multiplan | Commercial | $48.00 | ↑ +60% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $48.00 | ↑ +60% |
| Blue Cross Blue Shield | HMO | $48.84 | ↑ +63% |
| Cigna One Health | Commercial | $105.00 | ↑ +250% |
| Cigna | Commercial | $111.00 | ↑ +270% |
| Blue Cross Blue Shield City of Chicago | Commercial | $182.93 | ↑ +510% |
| Blue Cross Blue Shield Choice | Commercial | $197.72 | ↑ +559% |
| Blue Cross Blue Shield | PPO | $208.18 | ↑ +594% |
| Molina | Medicare Advantage | not published by hospital | — |
| Ambetter | Medicare Advantage | not published by hospital | — |
| Oscar Health HMO | Medicare Advantage | not published by hospital | — |
| HSTechnology | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Determine refractive state at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | not published | $181.73 – $206.84 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | not published | $72.60 – $107.36 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $44.00 – $44.00 |
| Advocate Christ Medical Center | Oak Lawn | not published | $177.55 – $202.06 |
| Advocate Condell Medical Center | Libertyville | not published | $112.01 – $127.42 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $181.73 – $206.84 |
| UnityPoint Health - Trinity Moline | Rock Island | not published | $24.99 – $51.76 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $180.09 – $204.90 |