Ot re-evaluation patient/family at Advocate Trinity Hospital
2320 East 93rd Street, Chicago, IL · Advocate Health · · NPI 1558479212
$130.00
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.
$260.00
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.
$23.64 with Advocate Employee vs $469.00 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 | $23.64 | ↓ -82% |
| Cigna One Health | Commercial | $31.20 | ↓ -76% |
| Aetna | Commercial | $32.37 | ↓ -75% |
| Private Healthcare Systems | Commercial | $37.20 | ↓ -71% |
| Cigna | Commercial | $39.60 | ↓ -70% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $42.30 | ↓ -67% |
| Blue Cross Blue Shield | HMO | $43.08 | ↓ -67% |
| Multiplan | Commercial | $48.00 | ↓ -63% |
| Ambetter | Medicare Advantage | $103.84 | ↓ -20% |
| Molina | Medicare Advantage | $103.84 | ↓ -20% |
| Oscar Health HMO | Medicare Advantage | $107.42 | ↓ -17% |
| HSTechnology | Medicare Advantage | $137.50 | ↑ +6% |
| Blue Cross Blue Shield City of Chicago | Commercial | $218.90 | ↑ +68% |
| Blue Cross Blue Shield Choice | Commercial | $236.73 | ↑ +82% |
| United Healthcare Charter | Commercial | $238.00 | ↑ +83% |
| Blue Cross Blue Shield | PPO | $249.15 | ↑ +92% |
| United Healthcare Nexus | Commercial | $274.00 | ↑ +111% |
| United Healthcare Core Navigate | Commercial | $405.00 | ↑ +212% |
| United Healthcare | HMO | $469.00 | ↑ +261% |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $130.00 | $23.64 – $469.00 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $70.29 | $68.76 – $129.32 |
| MercyOne Genesis Silvis Medical Center | Silvis | $213.00 | $32.96 – $278.27 |
| MercyOne Genesis Aledo Medical Center | Aledo | $213.00 | $46.35 – $48.41 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $52.50 | $67.85 – $112.28 |
| Advocate Christ Medical Center | Oak Lawn | $130.00 | $23.64 – $469.00 |
| Advocate Condell Medical Center | Libertyville | $130.00 | $23.64 – $295.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $130.00 | $23.64 – $469.00 |