Epoetin alfa-epbx 40,000 unit/ml injection solution at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$32.55
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.
$65.10
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.
$10.97 with Ambetter vs $47.19 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $10.97 | ↓ -66% |
| Molina | Medicare Advantage | $10.97 | ↓ -66% |
| United Healthcare Nexus | Commercial | $11.25 | ↓ -65% |
| United Healthcare Charter | Commercial | $11.25 | ↓ -65% |
| Oscar Health HMO | Medicare Advantage | $11.35 | ↓ -65% |
| HSTechnology | Medicare Advantage | $14.53 | ↓ -55% |
| Cigna | Commercial | $15.24 | ↓ -53% |
| Cigna One Health | Commercial | $15.24 | ↓ -53% |
| Advocate Employee | Commercial | $22.03 | ↓ -32% |
| United Healthcare Core Navigate | Commercial | $23.05 | ↓ -29% |
| United Healthcare | HMO | $23.05 | ↓ -29% |
| Aetna | Commercial | $30.16 | ↓ -7% |
| Private Healthcare Systems | Commercial | $30.19 | ↓ -7% |
| Blue Cross Blue Shield City of Chicago | Commercial | $41.54 | ↑ +28% |
| Multiplan | Commercial | $44.73 | ↑ +37% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $44.73 | ↑ +37% |
| Blue Cross Blue Shield Choice | Commercial | $44.95 | ↑ +38% |
| Blue Cross Blue Shield | HMO | $45.51 | ↑ +40% |
| Blue Cross Blue Shield | PPO | $47.19 | ↑ +45% |
Visitor-reported prices
Comments
Epoetin alfa-epbx 40,000 unit/ml injection solution at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | $40.83 | $10.97 – $45.18 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $633.34 | $9.16 – $14.94 |
| MercyOne Genesis Silvis Medical Center | Silvis | $793.87 | $7.89 – $74.66 |
| MercyOne Genesis Aledo Medical Center | Aledo | $793.87 | $7.57 – $40.34 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $443.41 | $7.69 – $12.72 |
| Advocate Christ Medical Center | Oak Lawn | $37.62 | $10.97 – $45.30 |
| Advocate Condell Medical Center | Libertyville | $48.06 | $10.97 – $44.75 |
| Advocate Good Samaritan Hospital | Downers Grove | $32.69 | $10.97 – $44.86 |