Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at HSHS St. Mary's Hospital
1800 E. LAKE SHORE DRIVE, DECATUR, IL · Hshs · · NPI 1326041229
$397.44
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.
$552.00
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.
$12.33 with COVENTRY vs $313.00 with INTERPLAN — 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 |
|---|---|---|---|
| COVENTRY | COVENTRY MEDICARE ADVANTRA | $12.33 | ↓ -97% |
| CLEAR SPRING HEALTH OF ILLINOIS | CLEAR SPRING HEALTH MEDICARE ADV | $12.33 | ↓ -97% |
| UNITED HEALTHCARE | UNITED HEALTH CARE MEDICARE | $12.33 | ↓ -97% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MEDICARE | $12.33 | ↓ -97% |
| AETNA | AETNA MEDICARE | $12.33 | ↓ -97% |
| HUMANA | HUMANA MEDICARE | $12.33 | ↓ -97% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BLUE CROSS BLUE SHIELD OF ILLINOIS MEDICARE ADV | $12.33 | ↓ -97% |
| BLUE CROSS BLUE SHIELD OF ILLINOIS | BCBS IL MMAI | $12.33 | ↓ -97% |
| MOLINA HEALTHCARE | MOLINA MEDICARE | $12.95 | ↓ -97% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $27.13 | ↓ -93% |
| MOLINA HEALTHCARE | MOLINA MEDICAID | $27.58 | ↓ -93% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $28.89 | ↓ -93% |
| HOPETRUST | ALL COMMERCIAL HOPETRUST | $30.83 | ↓ -92% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $30.83 | ↓ -92% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $87.64 | ↓ -78% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $87.64 | ↓ -78% |
| AETNA | ALL COMMERCIAL AETNA | $113.93 | ↓ -71% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $147.99 | ↓ -63% |
| AETNA | AETNA HSHS | $172.15 | ↓ -57% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $187.80 | ↓ -53% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $189.00 | ↓ -52% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $189.00 | ↓ -52% |
| CIGNA | ALL COMMERCIAL CIGNA | $200.00 | ↓ -50% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $219.10 | ↓ -45% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $219.10 | ↓ -45% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $231.31 | ↓ -42% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $250.40 | ↓ -37% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $250.40 | ↓ -37% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $266.05 | ↓ -33% |
| CATERPILLAR, INC. | UHC CATERPILLAR EMPLOYER GROUP | $281.00 | ↓ -29% |
| UNITED HEALTHCARE | ALL COMMERCIAL UNITED HEALTHCARE | $281.00 | ↓ -29% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $281.70 | ↓ -29% |
| WEXFORD | WEXFORD HEALTH SOURCES | $313.00 | ↓ -21% |
| UNITED HEALTHCARE | UHC MEDICAID | $313.00 | ↓ -21% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $313.00 | ↓ -21% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $313.00 | ↓ -21% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $313.00 | ↓ -21% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $313.00 | ↓ -21% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $313.00 | ↓ -21% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $313.00 | ↓ -21% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $313.00 | ↓ -21% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $313.00 | ↓ -21% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $313.00 | ↓ -21% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $313.00 | ↓ -21% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $313.00 | ↓ -21% |
| 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 | — |
| 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 | not published by hospital | — |
| 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 | — |
Visitor-reported prices
Comments
Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $79.20 | $27.56 – $278.27 |
| MercyOne Genesis Aledo Medical Center | Aledo | $79.20 | $15.57 – $62.04 |
| UnityPoint Health - Trinity Moline | Rock Island | $135.88 | $7.56 – $74.90 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $121.55 | $12.33 – $12.95 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $121.55 | $12.33 – $12.95 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $110.22 | $11.46 – $39.04 |
| OSF Healthcare Saint Katharine Medical Center | Dixon | $100.80 | $12.33 – $12.33 |
| HSHS Holy Family Hospital | GREENVILLE | $91.44 | $12.52 – $127.00 |