Breath hydrogen test 91065 at Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network)
2900 N Lake Shore Dr, Chicago, IL · Ascension · · NPI 1679659585
not published by hospital
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.
not published by hospital
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.
$163.10 with TRICARE vs $264.22 with AMBETTER — 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 |
|---|---|---|---|
| TRICARE | 2571_TRICARE OUTPATIENT 20231001 | $163.10 | — |
| TRICARE | 3136_JCIL TRICARE INPATIENT 20251001 | $163.10 | — |
| MEDICARE REPLACEMENT | 2894_JCIL MEDICARE ADVANTAGE PLAN OUTPATIENT 20250101 | $163.10 | — |
| MEDICARE REPLACEMENT | 3133_JCIL MEDICARE ADVANTAGE PLAN INPATIENT 20251001 | $163.10 | — |
| AETNA MCR REPLACEMENT | 2891_JCIL MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $163.10 | — |
| AETNA MCR REPLACEMENT | 3130_JCIL MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | $163.10 | — |
| BCBS MCR REPLACEMENT | 2892_JCIL MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD HMO OUTPATIENT 20250101 | $163.10 | — |
| BCBS MCR REPLACEMENT | 3131_JCIL MEDICARE ADVANTAGE BLUE CROSS BLUE SHIELD HMO INPATIENT 20251001 | $163.10 | — |
| HUMANA MCR REPLACEMENT | 2898_MEDICARE ADVANTAGE HUMANA OUTPATIENT 20250101 | $163.10 | — |
| HUMANA MCR REPLACEMENT | 3139_JCIL MEDICARE ADVANTAGE HUMANA INPATIENT 20251001 | $163.10 | — |
| UHC MCR REPLACEMENT | 3102_JCIL MEDICARE ADVANTAGE UNITED HEALTH CARE INPATIENT 20251001 | $163.10 | — |
| UHC MCR REPLACEMENT | 3103_JCIL MEDICARE ADVANTAGE UNITED HEALTH CARE OUTPATIENT 20250701 | $163.10 | — |
| AETNA BETTER HEALTH MCR REPLACEMENT | 2896_MEDICARE ADVANTAGE AETNA BETTER HEALTH OUTPATIENT 20250101 | $171.25 | — |
| MERIDIAN HEALTH MEDICARE | 3132_JCIL MEDICARE ADVANTAGE MERIDIAN INPATIENT 20251001 | $171.25 | — |
| MERIDIAN HEALTH MEDICARE | 2893_JCIL MEDICARE ADVANTAGE MERIDIAN OUTPATIENT 20250101 | $171.25 | — |
| AETNA BETTER HEALTH MCR REPLACEMENT | 3138_JCIL MEDICARE ADVANTAGE AETNA BETTER HEALTH INPATIENT 20251001 | $171.25 | — |
| HUMANA MMAI | 2897_MEDICARE ADVANTAGE HUMANA MMAI OUTPATIENT 20250101 | $179.41 | — |
| HUMANA MMAI | 3140_JCIL MEDICARE ADVANTAGE HUMANA MMAI INPATIENT 20251001 | $179.41 | — |
| MOLINA MEDICARE | 2899_MEDICARE ADVANTAGE MOLINA OUTPATIENT 20250101 | $179.41 | — |
| MOLINA MEDICARE | 3141_JCIL MEDICARE ADVANTAGE MOLINA INPATIENT 20251001 | $179.41 | — |
| BRIGHT HEALTH | 3135_JCIL BRIGHT HEALTH INPATIENT 20251001 | $203.88 | — |
| BRIGHT HEALTH | 2889_BRIGHT HEALTH OUTPATIENT 20250101 | $203.88 | — |
| BCBS FOCUS CARE | 3129_JCIL BLUE CROSS BLUE SHIELD MYBLUE PLUS POS INPATIENT 20251001 | $203.88 | — |
| BCBS FOCUS CARE | 3003_JCIL BLUE CROSS BLUE SHIELD MYBLUE PLUS POS OUTPATIENT 20250101 | $220.19 | — |
| UHC INDIVIDUAL EXCHANGE | 3104_JCIL UHC IP INDIVIDUAL EXCHANGE 20251001 | $220.19 | — |
| UHC INDIVIDUAL EXCHANGE | 3100_JCIL UHC OP INDIVIDUAL EXCHANGE 20250701 | $220.19 | — |
| SMARTHEALTH | 2917_SMARTHEALTH OP 20250101 | $228.34 | — |
| SMARTHEALTH | 3142_JCIL SMARTHEALTH INPATIENT 20251001 | $228.34 | — |
| AETNA SMARTCARE | 1344_AETNA SMARTCARE OP 20180101 | $244.65 | — |
| AMBETTER | 2888_AMBETTER OUTPATIENT 20250101 | $264.22 | — |
| AMBETTER | 3134_JCIL AMBETTER INPATIENT 20251001 | $264.22 | — |
Visitor-reported prices
Comments
Breath hydrogen test 91065 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Illinois Masonic Medical Center | Chicago | $420.00 | $236.49 – $6,291.00 |
| Advocate Trinity Hospital | Chicago | $420.00 | $236.49 – $6,291.00 |
| MercyOne Genesis Silvis Medical Center | Silvis | $175.20 | $55.07 – $268.64 |
| MercyOne Genesis Aledo Medical Center | Aledo | $175.20 | $149.13 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $420.00 | $236.49 – $6,291.00 |
| Advocate Condell Medical Center | Libertyville | $420.00 | $236.49 – $4,528.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $420.00 | $236.49 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $173.60 | $8.68 – $153.31 |