Gastroesophageal reflux study at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$1,130.00
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.
$2,260.00
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.
$607.37 with Ambetter vs $3,966.00 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 | $607.37 | ↓ -46% |
| Molina | Medicare Advantage | $607.37 | ↓ -46% |
| Oscar Health HMO | Medicare Advantage | $628.31 | ↓ -44% |
| HSTechnology | Medicare Advantage | $804.24 | ↓ -29% |
| Aetna | Commercial | $859.11 | ↓ -24% |
| Advocate Employee | Commercial | $890.44 | ↓ -21% |
| Cigna One Health | Commercial | $1,175.20 | ↑ +4% |
| Private Healthcare Systems | Commercial | $1,220.40 | ↑ +8% |
| Blue Cross Blue Shield City of Chicago | Commercial | $1,338.69 | ↑ +18% |
| Blue Cross Blue Shield Choice | Commercial | $1,446.97 | ↑ +28% |
| Cigna | Commercial | $1,491.60 | ↑ +32% |
| Blue Cross Blue Shield | PPO | $1,523.52 | ↑ +35% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $1,808.00 | ↑ +60% |
| Multiplan | Commercial | $1,808.00 | ↑ +60% |
| Blue Cross Blue Shield | HMO | $1,839.64 | ↑ +63% |
| United Healthcare Charter | Commercial | $2,006.00 | ↑ +78% |
| United Healthcare Nexus | Commercial | $2,324.00 | ↑ +106% |
| United Healthcare Core Navigate | Commercial | $3,426.00 | ↑ +203% |
| United Healthcare | HMO | $3,966.00 | ↑ +251% |
Visitor-reported prices
Comments
Gastroesophageal reflux study at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $418.77 | $216.57 – $1,804.74 |
| Advocate Trinity Hospital | Chicago | not published | $607.37 – $1,513.68 |
| MercyOne Genesis Silvis Medical Center | Silvis | $823.80 | $363.22 – $1,263.16 |
| MercyOne Genesis Aledo Medical Center | Aledo | $823.80 | $451.92 – $645.31 |
| Advocate Christ Medical Center | Oak Lawn | $1,130.00 | $607.37 – $3,966.00 |
| Advocate Condell Medical Center | Libertyville | $1,130.00 | $607.37 – $2,595.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,130.00 | $607.37 – $3,966.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $541.60 | $29.82 – $393.74 |