Inject sacroiliac joint at HSHS St. Mary's Hospital
1800 E. LAKE SHORE DRIVE, DECATUR, IL · Hshs · · NPI 1326041229
$1,532.88
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.
$2,129.00
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.
$417.55 with MOLINA HEALTHCARE vs $2,129.00 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 | $417.55 | ↓ -73% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $437.43 | ↓ -71% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $596.12 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $596.12 | ↓ -61% |
| AETNA | ALL COMMERCIAL AETNA | $774.96 | ↓ -49% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $1,006.59 | ↓ -34% |
| AETNA | AETNA HSHS | $1,170.95 | ↓ -24% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $1,277.40 | ↓ -17% |
| CIGNA | ALL COMMERCIAL CIGNA | $1,298.69 | ↓ -15% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $1,490.30 | ↓ -3% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $1,490.30 | ↓ -3% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $1,573.33 | ↑ +3% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $1,681.91 | ↑ +10% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $1,681.91 | ↑ +10% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $1,703.20 | ↑ +11% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $1,703.20 | ↑ +11% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $1,809.65 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $1,916.10 | ↑ +25% |
| WEXFORD | WEXFORD HEALTH SOURCES | $2,129.00 | ↑ +39% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $2,129.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $2,129.00 | ↑ +39% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $2,129.00 | ↑ +39% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $2,129.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $2,129.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $2,129.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $2,129.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $2,129.00 | ↑ +39% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $2,129.00 | ↑ +39% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $2,129.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $2,129.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $2,129.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $2,129.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $2,129.00 | ↑ +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
Inject sacroiliac joint at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,168.20 | $415.04 – $2,143.62 |
| MercyOne Genesis Aledo Medical Center | Aledo | $778.20 | $180.00 – $609.59 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $100.00 | $1,032.00 – $2,414.00 |
| Advocate Christ Medical Center | Oak Lawn | $1,290.00 | $677.68 – $6,291.00 |
| Northwestern Memorial Hospital | Chicago | $957.60 | not published |
| Advocate Condell Medical Center | Libertyville | $1,090.00 | $638.28 – $4,528.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $990.00 | $764.36 – $6,291.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $801.60 | $75.78 – $288.04 |