Art bypass iliofemoral 35665 at HSHS St. Mary's Hospital
1800 E. LAKE SHORE DRIVE, DECATUR, IL · Hshs · · NPI 1326041229
$5,106.24
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.
$7,092.00
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.
$992.88 with AMISH COMMUNITY vs $5,034.68 with MOLINA 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 |
|---|---|---|---|
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $992.88 | ↓ -81% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $992.88 | ↓ -81% |
| AETNA | ALL COMMERCIAL AETNA | $1,290.74 | ↓ -75% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $1,676.55 | ↓ -67% |
| AETNA | AETNA HSHS | $1,950.30 | ↓ -62% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $2,127.60 | ↓ -58% |
| CIGNA | ALL COMMERCIAL CIGNA | $2,163.06 | ↓ -58% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $2,482.20 | ↓ -51% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $2,482.20 | ↓ -51% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $2,620.49 | ↓ -49% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $2,801.34 | ↓ -45% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $2,801.34 | ↓ -45% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $2,836.80 | ↓ -44% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $2,836.80 | ↓ -44% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $3,014.10 | ↓ -41% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $3,191.40 | ↓ -38% |
| WEXFORD | WEXFORD HEALTH SOURCES | $3,546.00 | ↓ -31% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $3,546.00 | ↓ -31% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $3,546.00 | ↓ -31% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $3,546.00 | ↓ -31% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $3,546.00 | ↓ -31% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $3,546.00 | ↓ -31% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $3,546.00 | ↓ -31% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $3,546.00 | ↓ -31% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $3,546.00 | ↓ -31% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $3,546.00 | ↓ -31% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $3,546.00 | ↓ -31% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $3,546.00 | ↓ -31% |
| UNITED HEALTHCARE | UHC MEDICAID | $3,546.00 | ↓ -31% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $3,546.00 | ↓ -31% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $3,546.00 | ↓ -31% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $3,546.00 | ↓ -31% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $5,034.68 | ↓ -1% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL BLUE CHOICE PLANS | not published by hospital | — |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL HMO PHAI | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO 470 | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
Visitor-reported prices
Comments
Art bypass iliofemoral 35665 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $2,358.00 | $3,615.60 – $4,839.14 |
| MercyOne Genesis Aledo Medical Center | Aledo | $2,358.00 | $2,970.16 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $5,729.60 | $997.24 – $2,675.57 |
| OSF Saint Anthony Medical Center | Rockford | $2,034.00 | $1,331.22 – $5,543.00 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $29,962.80 | $4,794.94 – $27,744.00 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $2,648.00 – $2,648.00 |
| Advocate Christ Medical Center | Oak Lawn | not published | $3,181.00 – $6,291.00 |
| Advocate Condell Medical Center | Libertyville | not published | $3,277.00 – $4,636.00 |