Cholesterol body fluid at HSHS St. Mary's Hospital
1800 E. LAKE SHORE DRIVE, DECATUR, IL · Hshs · · NPI 1326041229
$262.80
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.
$365.00
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.
$8.82 with MOLINA HEALTHCARE vs $365.00 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 |
|---|---|---|---|
| MOLINA HEALTHCARE | MOLINA MEDICAID | $8.82 | ↓ -97% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $9.24 | ↓ -96% |
| CIGNA | ALL COMMERCIAL CIGNA | $65.52 | ↓ -75% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $102.20 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $102.20 | ↓ -61% |
| AETNA | AETNA MEDICARE | $107.68 | ↓ -59% |
| AETNA | ALL COMMERCIAL AETNA | $132.86 | ↓ -49% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $164.25 | ↓ -38% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $172.57 | ↓ -34% |
| AETNA | AETNA HSHS | $200.75 | ↓ -24% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $219.00 | ↓ -17% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $255.50 | ↓ -3% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $255.50 | ↓ -3% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $255.50 | ↓ -3% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $259.88 | ↓ -1% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $259.88 | ↓ -1% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $269.74 | ↑ +3% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $292.00 | ↑ +11% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $292.00 | ↑ +11% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $310.25 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $328.50 | ↑ +25% |
| WEXFORD | WEXFORD HEALTH SOURCES | $365.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $365.00 | ↑ +39% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $365.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $365.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $365.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $365.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $365.00 | ↑ +39% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $365.00 | ↑ +39% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $365.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $365.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $365.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $365.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $365.00 | ↑ +39% |
| BLUE CROSS SIHCA | BLUE CROSS BLUE SHIELD IL HMO SIHCA | 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 | — |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL HMO PHAI | 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 | BCBS OF ILLINOIS PPO | not published by hospital | — |
Visitor-reported prices
Comments
Cholesterol body fluid at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $652.80 | $9.81 – $42.32 |
| MercyOne Genesis Aledo Medical Center | Aledo | $652.80 | $20.70 – $21.62 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $31.25 | $6.07 – $16.13 |
| Advocate Christ Medical Center | Oak Lawn | $67.50 | $43.63 – $100.00 |
| Advocate Condell Medical Center | Libertyville | $67.50 | $49.25 – $100.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $67.50 | $43.63 – $100.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $64.28 | $21.77 – $42.34 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $31.25 | $6.07 – $15.49 |