healthcosts.net
ER Visit (level 3) at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$785.00
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.
$1,570.00
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.
$418.52 with Ambetter vs $2,071.00 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $418.52 | ↓ -47% |
| Molina | Medicare Advantage | $418.52 | ↓ -47% |
| Oscar Health HMO | Medicare Advantage | $432.95 | ↓ -45% |
| HSTechnology | Medicare Advantage | $554.18 | ↓ -29% |
| Advocate Employee | Commercial | $618.58 | ↓ -21% |
| Blue Cross Blue Shield City of Chicago | Commercial | $804.67 | ↑ +3% |
| Cigna One Health | Commercial | $816.40 | ↑ +4% |
| Aetna | Commercial | $847.02 | ↑ +8% |
| Private Healthcare Systems | Commercial | $847.80 | ↑ +8% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $860.36 | ↑ +10% |
| Blue Cross Blue Shield Choice | Commercial | $869.75 | ↑ +11% |
| Blue Cross Blue Shield | HMO | $876.06 | ↑ +12% |
| Blue Cross Blue Shield | PPO | $915.77 | ↑ +17% |
| United Healthcare Charter | Commercial | $1,047.00 | ↑ +33% |
| United Healthcare Nexus | Commercial | $1,213.00 | ↑ +55% |
| Multiplan | Commercial | $1,256.00 | ↑ +60% |
| United Healthcare Core Navigate | Commercial | $1,789.00 | ↑ +128% |
| Cigna | Commercial | $1,948.00 | ↑ +148% |
| United Healthcare | HMO | $2,071.00 | ↑ +164% |
Visitor-reported prices
Comments
ER Visit (level 3) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | $715.00 | $418.52 – $2,071.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $448.20 | $142.40 – $362.68 |
| MercyOne Genesis Aledo Medical Center | Aledo | $448.20 | $134.00 – $312.63 |
| Advocate Christ Medical Center | Oak Lawn | $660.00 | $418.52 – $2,071.00 |
| Advocate Condell Medical Center | Libertyville | $650.00 | $418.52 – $1,948.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $580.00 | $418.52 – $2,071.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $643.64 | $21.67 – $215.41 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $465.00 | $366.42 – $2,071.00 |