Cath ptca pcltxl agent 3x20mm at HSHS St. Mary's Hospital
1800 E. LAKE SHORE DRIVE, DECATUR, IL · Hshs · · NPI 1326041229
$11,556.00
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.
$16,050.00
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.
$4,349.55 with BLUE CROSS BLUE SHIELD OF ILLINOIS vs $16,050.00 with HEALTH ALLIANCE MEDICAL PLANS — 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 |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $4,349.55 | ↓ -62% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $4,349.55 | ↓ -62% |
| AETNA | AETNA MEDICARE | $4,349.55 | ↓ -62% |
| COVENTRY | COVENTRY MEDICARE ADVANTRA | $4,349.55 | ↓ -62% |
| HUMANA | HUMANA MEDICARE | $4,349.55 | ↓ -62% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $4,349.55 | ↓ -62% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $4,349.55 | ↓ -62% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $4,349.55 | ↓ -62% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $4,494.00 | ↓ -61% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $4,494.00 | ↓ -61% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $4,567.03 | ↓ -60% |
| AETNA | ALL COMMERCIAL AETNA | $5,842.20 | ↓ -49% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $7,588.44 | ↓ -34% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $8,217.60 | ↓ -29% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $8,217.60 | ↓ -29% |
| AETNA | AETNA HSHS | $8,827.50 | ↓ -24% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $9,569.01 | ↓ -17% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $9,630.00 | ↓ -17% |
| CIGNA | ALL COMMERCIAL CIGNA | $9,790.50 | ↓ -15% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $10,873.88 | ↓ -6% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $10,873.88 | ↓ -6% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $11,235.00 | ↓ -3% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $11,235.00 | ↓ -3% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $11,860.95 | ↑ +3% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $12,679.50 | ↑ +10% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $12,679.50 | ↑ +10% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $12,840.00 | ↑ +11% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $12,840.00 | ↑ +11% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $13,642.50 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $14,445.00 | ↑ +25% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $16,050.00 | ↑ +39% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $16,050.00 | ↑ +39% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $16,050.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $16,050.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $16,050.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $16,050.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $16,050.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $16,050.00 | ↑ +39% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $16,050.00 | ↑ +39% |
| WEXFORD | WEXFORD HEALTH SOURCES | $16,050.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $16,050.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $16,050.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $16,050.00 | ↑ +39% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS OF ILLINOIS PPO | 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 | BCBS IL HMO PHAI | 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 BLUE CHOICE PLANS | not published by hospital | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD IL HMO | not published by hospital | — |
Visitor-reported prices
Comments
Cath ptca pcltxl agent 3x20mm at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $10,650.25 | $7,433.87 – $17,040.40 |
| Advocate Good Samaritan Hospital | Downers Grove | $12,514.75 | $8,735.30 – $20,023.60 |
| UnityPoint Health - Trinity Moline | Rock Island | $14,656.00 | $4,964.72 – $9,654.64 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $8,192.50 | $5,718.37 – $13,108.00 |
| Advocate Sherman Hospital | Elgin | $7,881.75 | $4,823.63 – $14,187.15 |
| HSHS St. John's Hospital | IL 62769|301 N. 8th St. | $11,556.00 | $5,248.35 – $16,050.00 |
| HSHS St. Anthony's Memorial Hospital | Mattoon | $11,556.00 | $4,413.75 – $16,050.00 |
| Advocate Condell Medical Center | Libertyville | not published | not published |