Tib/per revasc stent & ather 37231 at Advocate Illinois Masonic Medical Center
836 West Wellington Avenue, Chicago, IL · Advocate Health · · NPI 1912014564
$26,370.00
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.
$52,740.00
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.
$20,779.56 with Advocate Employee vs $97,131.00 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 | $20,779.56 | ↓ -21% |
| Ambetter | Medicare Advantage | $27,141.74 | ↑ +3% |
| Molina | Medicare Advantage | $27,141.74 | ↑ +3% |
| Cigna One Health | Commercial | $27,424.80 | ↑ +4% |
| Oscar Health HMO | Medicare Advantage | $28,077.67 | ↑ +6% |
| Aetna | Commercial | $28,453.23 | ↑ +8% |
| Private Healthcare Systems | Commercial | $28,479.60 | ↑ +8% |
| Cigna | Commercial | $31,644.00 | ↑ +20% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $31,749.48 | ↑ +20% |
| Blue Cross Blue Shield | HMO | $32,382.36 | ↑ +23% |
| Blue Cross Blue Shield City of Chicago | Commercial | $34,966.62 | ↑ +33% |
| HSTechnology | Medicare Advantage | $35,939.41 | ↑ +36% |
| Blue Cross Blue Shield Choice | Commercial | $37,814.58 | ↑ +43% |
| Blue Cross Blue Shield | PPO | $39,765.96 | ↑ +51% |
| Multiplan | Commercial | $42,192.00 | ↑ +60% |
| United Healthcare Charter | Commercial | $49,123.00 | ↑ +86% |
| United Healthcare Nexus | Commercial | $56,918.00 | ↑ +116% |
| United Healthcare Core Navigate | Commercial | $83,921.00 | ↑ +218% |
| United Healthcare | HMO | $97,131.00 | ↑ +268% |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Trinity Hospital | Chicago | $23,525.00 | $18,537.70 – $97,131.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $22,348.80 | $1,954.08 – $28,077.67 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,274.40 | $2,970.16 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $6,125.00 | $5,580.00 – $8,869.00 |
| Advocate Christ Medical Center | Oak Lawn | $12,115.00 | $9,546.62 – $97,131.00 |
| Advocate Condell Medical Center | Libertyville | $19,260.00 | $15,176.88 – $43,599.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $19,700.00 | $15,523.60 – $97,131.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $68,368.00 | $638.40 – $21,941.55 |