Quant diff pulm perf w/imaging at Advocate Trinity Hospital
2320 East 93rd Street, Chicago, IL · Advocate Health · · NPI 1558479212
$1,705.00
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.
$3,410.00
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.
$607.37 with Ambetter vs $3,966.00 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $607.37 | ↓ -64% |
| Molina | Medicare Advantage | $607.37 | ↓ -64% |
| Oscar Health HMO | Medicare Advantage | $628.31 | ↓ -63% |
| HSTechnology | Medicare Advantage | $804.24 | ↓ -53% |
| Advocate Employee | Commercial | $1,343.54 | ↓ -21% |
| Cigna One Health | Commercial | $1,773.20 | ↑ +4% |
| Aetna | Commercial | $1,839.70 | ↑ +8% |
| United Healthcare Charter | Commercial | $2,006.00 | ↑ +18% |
| Blue Cross Blue Shield City of Chicago | Commercial | $2,065.13 | ↑ +21% |
| Private Healthcare Systems | Commercial | $2,114.20 | ↑ +24% |
| Blue Cross Blue Shield Choice | Commercial | $2,233.26 | ↑ +31% |
| Cigna | Commercial | $2,250.60 | ↑ +32% |
| United Healthcare Nexus | Commercial | $2,324.00 | ↑ +36% |
| Blue Cross Blue Shield | PPO | $2,350.45 | ↑ +38% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $2,404.05 | ↑ +41% |
| Blue Cross Blue Shield | HMO | $2,448.38 | ↑ +44% |
| Multiplan | Commercial | $2,728.00 | ↑ +60% |
| United Healthcare Core Navigate | Commercial | $3,426.00 | ↑ +101% |
| United Healthcare | HMO | $3,966.00 | ↑ +133% |
Visitor-reported prices
Comments
Quant diff pulm perf w/imaging at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $1,705.00 | $607.37 – $3,966.00 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $314.49 | $167.31 – $1,394.22 |
| MercyOne Genesis Silvis Medical Center | Silvis | $1,317.60 | $418.88 – $2,020.32 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,317.60 | $451.92 – $1,032.12 |
| Advocate Christ Medical Center | Oak Lawn | $1,705.00 | $607.37 – $3,966.00 |
| Advocate Condell Medical Center | Libertyville | $1,705.00 | $607.37 – $2,728.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,705.00 | $607.37 – $3,966.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,158.24 | $31.20 – $1,189.73 |