Sm-153 lexidron ther at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$16,305.00
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.
$32,610.00
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.
$6,256.62 with Ambetter vs $58,338.29 with United Healthcare Core Navigate — 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 | $6,256.62 | ↓ -62% |
| Molina | Medicare Advantage | $6,256.62 | ↓ -62% |
| Oscar Health HMO | Medicare Advantage | $6,472.37 | ↓ -60% |
| HSTechnology | Medicare Advantage | $8,284.63 | ↓ -49% |
| Advocate Employee | Commercial | $12,848.34 | ↓ -21% |
| Aetna | Commercial | $17,593.10 | ↑ +8% |
| Private Healthcare Systems | Commercial | $17,609.40 | ↑ +8% |
| Blue Cross Blue Shield City of Chicago | Commercial | $24,229.23 | ↑ +49% |
| Multiplan | Commercial | $26,088.00 | ↑ +60% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $26,088.00 | ↑ +60% |
| Blue Cross Blue Shield Choice | Commercial | $26,218.44 | ↑ +61% |
| Blue Cross Blue Shield | HMO | $26,544.54 | ↑ +63% |
| Blue Cross Blue Shield | PPO | $27,522.84 | ↑ +69% |
| United Healthcare Charter | Commercial | $28,478.75 | ↑ +75% |
| United Healthcare Nexus | Commercial | $28,478.75 | ↑ +75% |
| Cigna One Health | Commercial | $33,217.08 | ↑ +104% |
| Cigna | Commercial | $33,217.08 | ↑ +104% |
| United Healthcare | HMO | $58,338.29 | ↑ +258% |
| United Healthcare Core Navigate | Commercial | $58,338.29 | ↑ +258% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Northwestern Memorial Hospital | Chicago | $28,298.90 | not published |
| Advocate Trinity Hospital | Chicago | not published | $6,256.62 – $58,338.29 |
| MercyOne Genesis Aledo Medical Center | Aledo | $4,471.80 | $3,428.38 – $19,848.83 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $16,305.00 | $6,256.62 – $58,338.29 |
| Northwestern Medicine Central DuPage Hospital | IL 60190 | $28,298.90 | not published |
| Northwestern Medicine Delnor Hospital | Geneva | $28,298.90 | not published |
| Northwestern Medicine Palos Hospital | Palos Heights | $28,298.90 | not published |
| Northwestern Medicine Marianjoy Rehabilitation Hospital | Wheaton | $28,298.90 | not published |