healthcosts.net
Lymphocyte culture mixed at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
not published by hospital
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.
?
What you pay up front if you don't use insurance.
not published by hospital
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.
?
The hospital's undiscounted list price — almost no one pays this.
$36.56 with United Healthcare Core Navigate vs $312.27 with Blue Cross Blue Shield — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 Core Navigate | Commercial | $36.56 | — |
| United Healthcare Nexus | Commercial | $36.56 | — |
| United Healthcare Charter | Commercial | $36.56 | — |
| United Healthcare | HMO | $36.56 | — |
| Ambetter | Medicare Advantage | $53.01 | — |
| Molina | Medicare Advantage | $53.01 | — |
| Oscar Health HMO | Medicare Advantage | $54.84 | — |
| HSTechnology | Medicare Advantage | $70.20 | — |
| Cigna One Health | Commercial | $166.67 | — |
| Cigna | Commercial | $166.67 | — |
| Blue Cross Blue Shield City of Chicago | Commercial | $274.38 | — |
| Blue Cross Blue Shield Choice | Commercial | $296.58 | — |
| Aetna | Commercial | $305.97 | — |
| Blue Cross Blue Shield | PPO | $312.27 | — |
Visitor-reported prices
Comments
Lymphocyte culture mixed at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | not published | $36.56 – $310.25 |
| UnityPoint Health - Trinity Moline | Rock Island | $92.00 | $3.50 – $58.50 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $49.98 – $49.98 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $36.56 – $135.36 |
| Advocate Christ Medical Center | Oak Lawn | not published | $36.56 – $305.97 |
| Advocate Condell Medical Center | Libertyville | not published | $36.56 – $305.97 |
| Advocate Good Samaritan Hospital | Downers Grove | not published | $36.56 – $310.25 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | not published | $36.56 – $307.34 |