healthcosts.net
ER Visit (level 1, minor) at Advocate Trinity Hospital
2320 East 93rd Street, Chicago, IL · Advocate Health · · NPI 1558479212
$195.00
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.
$390.00
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.
$49.25 with Advocate Employee vs $796.00 with United Healthcare — 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 |
|---|---|---|---|
| Advocate Employee | Commercial | $49.25 | ↓ -75% |
| Cigna One Health | Commercial | $65.00 | ↓ -67% |
| Aetna | Commercial | $67.44 | ↓ -65% |
| Private Healthcare Systems | Commercial | $77.50 | ↓ -60% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $88.13 | ↓ -55% |
| Blue Cross Blue Shield | HMO | $89.75 | ↓ -54% |
| Multiplan | Commercial | $100.00 | ↓ -49% |
| Ambetter | Medicare Advantage | $133.09 | ↓ -32% |
| Molina | Medicare Advantage | $133.09 | ↓ -32% |
| Oscar Health HMO | Medicare Advantage | $137.68 | ↓ -29% |
| HSTechnology | Medicare Advantage | $176.23 | ↓ -10% |
| Blue Cross Blue Shield City of Chicago | Commercial | $266.47 | ↑ +37% |
| Blue Cross Blue Shield Choice | Commercial | $288.17 | ↑ +48% |
| Blue Cross Blue Shield | PPO | $303.29 | ↑ +56% |
| United Healthcare Charter | Commercial | $403.00 | ↑ +107% |
| United Healthcare Nexus | Commercial | $467.00 | ↑ +139% |
| United Healthcare Core Navigate | Commercial | $687.00 | ↑ +252% |
| Cigna | Commercial | $724.00 | ↑ +271% |
| United Healthcare | HMO | $796.00 | ↑ +308% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $195.00 | $49.25 – $796.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $245.40 | $25.92 – $137.68 |
| MercyOne Genesis Aledo Medical Center | Aledo | $245.40 | $36.00 – $97.28 |
| Advocate Christ Medical Center | Oak Lawn | $195.00 | $49.25 – $796.00 |
| Advocate Condell Medical Center | Libertyville | $195.00 | $49.25 – $724.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $195.00 | $49.25 – $796.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $170.36 | $10.30 – $35.89 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $195.00 | $49.25 – $796.00 |