Ortho elbow without jnt cstm w/fit&adj at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$230.00
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.
$460.00
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.
$104.42 with Blue Cross Blue Shield City of Chicago vs $607.95 with HSTechnology — 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 |
|---|---|---|---|
| Blue Cross Blue Shield City of Chicago | Commercial | $104.42 | ↓ -55% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $112.70 | ↓ -51% |
| Blue Cross Blue Shield Choice | Commercial | $113.16 | ↓ -51% |
| Blue Cross Blue Shield | PPO | $119.14 | ↓ -48% |
| Blue Cross Blue Shield | HMO | $135.24 | ↓ -41% |
| United Healthcare Charter | Commercial | $160.54 | ↓ -30% |
| Advocate Employee | Commercial | $181.24 | ↓ -21% |
| United Healthcare Nexus | Commercial | $185.84 | ↓ -19% |
| Cigna One Health | Commercial | $230.00 | ↑ +0% |
| Cigna | Commercial | $239.20 | ↑ +4% |
| Aetna | Commercial | $243.66 | ↑ +6% |
| Private Healthcare Systems | Commercial | $248.40 | ↑ +8% |
| United Healthcare Core Navigate | Commercial | $274.16 | ↑ +19% |
| United Healthcare | HMO | $317.40 | ↑ +38% |
| Multiplan | Commercial | $368.00 | ↑ +60% |
| Molina | Medicare Advantage | $459.13 | ↑ +100% |
| Ambetter | Medicare Advantage | $459.13 | ↑ +100% |
| Oscar Health HMO | Medicare Advantage | $474.96 | ↑ +107% |
| HSTechnology | Medicare Advantage | $607.95 | ↑ +164% |
Visitor-reported prices
Comments
Ortho elbow without jnt cstm w/fit&adj at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $218.64 | $368.31 – $368.31 |
| Advocate Trinity Hospital | Chicago | not published | $459.13 – $1,118.83 |
| Advocate Christ Medical Center | Oak Lawn | $230.00 | $115.92 – $607.95 |
| Advocate Condell Medical Center | Libertyville | $230.00 | $94.16 – $607.95 |
| Advocate Good Samaritan Hospital | Downers Grove | $230.00 | $146.96 – $607.95 |
| UnityPoint Health - Trinity Moline | Rock Island | $630.40 | $157.21 – $506.62 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $230.00 | $153.56 – $607.95 |
| Advocate Sherman Hospital | Elgin | $230.00 | $138.60 – $607.95 |