Plmt biliary drainage cath at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$4,350.00
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.
?
What you pay up front if you don't use insurance.
$8,700.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,427.80 with Advocate Employee vs $17,439.00 with United Healthcare — 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 |
|---|---|---|---|
| Advocate Employee | Commercial | $3,427.80 | ↓ -21% |
| Cigna One Health | Commercial | $4,524.00 | ↑ +4% |
| Aetna | Commercial | $4,693.65 | ↑ +8% |
| Private Healthcare Systems | Commercial | $4,698.00 | ↑ +8% |
| Cigna | Commercial | $5,220.00 | ↑ +20% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,237.40 | ↑ +20% |
| Molina | Medicare Advantage | $5,334.21 | ↑ +23% |
| Ambetter | Medicare Advantage | $5,334.21 | ↑ +23% |
| Blue Cross Blue Shield | HMO | $5,341.80 | ↑ +23% |
| Oscar Health HMO | Medicare Advantage | $5,518.14 | ↑ +27% |
| Blue Cross Blue Shield City of Chicago | Commercial | $5,768.10 | ↑ +33% |
| Blue Cross Blue Shield Choice | Commercial | $6,237.90 | ↑ +43% |
| Blue Cross Blue Shield | PPO | $6,559.80 | ↑ +51% |
| Multiplan | Commercial | $6,960.00 | ↑ +60% |
| HSTechnology | Medicare Advantage | $7,063.22 | ↑ +62% |
| United Healthcare Charter | Commercial | $8,821.00 | ↑ +103% |
| United Healthcare Nexus | Commercial | $10,219.00 | ↑ +135% |
| United Healthcare Core Navigate | Commercial | $15,068.00 | ↑ +246% |
| United Healthcare | HMO | $17,439.00 | ↑ +301% |
Visitor-reported prices
Comments
Plmt biliary drainage cath at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | $3,035.00 | $2,391.58 – $17,439.00 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $1,750.00 | $1,728.00 – $6,215.65 |
| Advocate Christ Medical Center | Oak Lawn | $3,915.00 | $3,085.02 – $17,439.00 |
| Advocate Condell Medical Center | Libertyville | $5,165.00 | $4,070.02 – $9,476.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $3,615.00 | $2,848.62 – $17,439.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $7,362.84 | $328.68 – $4,058.77 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $1,750.00 | $1,728.00 – $6,215.65 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $3,501.30 | $3,836.82 – $4,028.66 |