Emg 2 ext w-w/o paraspinal area 95861 at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$447.50
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.
$895.00
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.
$194.83 with Molina vs $1,679.00 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 |
|---|---|---|---|
| Molina | Medicare Advantage | $194.83 | ↓ -56% |
| Ambetter | Medicare Advantage | $194.83 | ↓ -56% |
| Oscar Health HMO | Medicare Advantage | $201.55 | ↓ -55% |
| HSTechnology | Medicare Advantage | $257.99 | ↓ -42% |
| Advocate Employee | Commercial | $352.63 | ↓ -21% |
| Cigna One Health | Commercial | $465.40 | ↑ +4% |
| Aetna | Commercial | $482.85 | ↑ +8% |
| Private Healthcare Systems | Commercial | $483.30 | ↑ +8% |
| Cigna | Commercial | $590.70 | ↑ +32% |
| Blue Cross Blue Shield City of Chicago | Commercial | $669.36 | ↑ +50% |
| Multiplan | Commercial | $716.00 | ↑ +60% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $716.00 | ↑ +60% |
| Blue Cross Blue Shield Choice | Commercial | $723.50 | ↑ +62% |
| Blue Cross Blue Shield | HMO | $728.53 | ↑ +63% |
| Blue Cross Blue Shield | PPO | $761.78 | ↑ +70% |
| United Healthcare Charter | Commercial | $849.00 | ↑ +90% |
| United Healthcare Nexus | Commercial | $984.00 | ↑ +120% |
| United Healthcare Core Navigate | Commercial | $1,450.00 | ↑ +224% |
| United Healthcare | HMO | $1,679.00 | ↑ +275% |
Visitor-reported prices
Comments
Emg 2 ext w-w/o paraspinal area 95861 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $97.02 | $134.37 – $392.84 |
| Advocate Trinity Hospital | Chicago | not published | $194.83 – $756.85 |
| MercyOne Genesis Silvis Medical Center | Silvis | $274.80 | $131.95 – $421.36 |
| MercyOne Genesis Aledo Medical Center | Aledo | $274.80 | $357.36 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $187.50 | $139.58 – $230.97 |
| Advocate Christ Medical Center | Oak Lawn | $447.50 | $194.83 – $1,679.00 |
| Advocate Condell Medical Center | Libertyville | $447.50 | $194.83 – $1,255.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $447.50 | $194.83 – $1,679.00 |