Unlisted procedure microbiology at HSHS St. Mary's Hospital
1800 E. LAKE SHORE DRIVE, DECATUR, IL · Hshs · · NPI 1326041229
$3,198.24
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.
?
What you pay up front if you don't use insurance.
$4,442.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$7.78 with MOLINA HEALTHCARE vs $4,442.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $7.78 | ↓ -100% |
| MERIDIAN HEALTH PLAN | MERIDIAN HMO MCD | $8.15 | ↓ -100% |
| CIGNA | ALL COMMERCIAL CIGNA | $65.52 | ↓ -98% |
| AMISH COMMUNITY | PLAIN CHURCH MEDICAL GROUP | $1,243.76 | ↓ -61% |
| AMISH COMMUNITY | AMISH COMMUNITY DISCOUNT | $1,243.76 | ↓ -61% |
| AETNA | AETNA MEDICARE | $1,310.39 | ↓ -59% |
| AETNA | ALL COMMERCIAL AETNA | $1,616.89 | ↓ -49% |
| CELTIC INSURANCE COMPANY | ALL COMMERCIAL EXCHANGE AMBETTER | $1,998.90 | ↓ -38% |
| WELLFIRST | ALL COMMERCIAL WELLFIRST | $2,100.18 | ↓ -34% |
| AETNA | AETNA HSHS | $2,443.10 | ↓ -24% |
| CURRENT HEALTH SOLUTIONS | ALL COMMERCIAL CURRENT HEALTH SOLUTIONS | $2,665.20 | ↓ -17% |
| CHOICECARE | ALL COMMERCIAL CHOICE CARE | $3,109.40 | ↓ -3% |
| CONSOCIATE GROUP | ALL COMMERCIAL CONSOCIATE GROUP | $3,109.40 | ↓ -3% |
| CLAIM DOC | ALL COMMERCIAL CLAIM DOC | $3,109.40 | ↓ -3% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK - PPO | $3,162.70 | ↓ -1% |
| HEALTHLINK | ALL COMMERCIAL HEALTHLINK | $3,162.70 | ↓ -1% |
| FIRST HEALTH | ALL COMMERCIAL FIRST HEALTH NETWORK | $3,282.64 | ↑ +3% |
| CIGNA | CIGNA BEHAVIORAL HEALTH | $3,553.60 | ↑ +11% |
| MULTIPLAN/PHCS | ALL COMMERCIAL MULTIPLAN | $3,553.60 | ↑ +11% |
| HEALTHCARE FINEST NETWORK (HFN) | ALL COMMERCIAL HFN | $3,775.70 | ↑ +18% |
| PROVIDER NETWORK OF AMERICA | ALL COMMERCIAL PROVIDER NETWORK OF AMERICA | $3,997.80 | ↑ +25% |
| WEXFORD | WEXFORD HEALTH SOURCES | $4,442.00 | ↑ +39% |
| UNITED HEALTHCARE | UNITED HEALTHCARE BEHAVIORAL HEALTH | $4,442.00 | ↑ +39% |
| CITY OF SPRINGFIELD | CITY OF SPRINGFIELD WORKCOMP | $4,442.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE KINGERY | $4,442.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MARKET PLACE | $4,442.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE MEDICARE | $4,442.00 | ↑ +39% |
| HEALTH ALLIANCE MEDICAL PLANS | HEALTH ALLIANCE PPO | $4,442.00 | ↑ +39% |
| HEALTHLINK | HEALTHLINK CASINO QUEEN | $4,442.00 | ↑ +39% |
| HEALTHLINK | ST CLAIR COUNTY HOUSING AUTHORITY | $4,442.00 | ↑ +39% |
| HEALTHSCOPE | ALL COMMERCIAL HEALTHSCOPE | $4,442.00 | ↑ +39% |
| ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | ILLINOIS BREAST AND CERVICAL CANCER PROGRAM | $4,442.00 | ↑ +39% |
| INTERPLAN | ALL COMMERCIAL INTERPLAN HEALTH GROUP | $4,442.00 | ↑ +39% |
| UNITED HEALTHCARE | UHC MEDICAID | $4,442.00 | ↑ +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
Unlisted procedure microbiology at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $555.00 | $65.29 – $240.00 |
| Advocate Condell Medical Center | Libertyville | $555.00 | $65.29 – $240.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $555.00 | $65.29 – $888.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $38.58 | $13.07 – $25.41 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $2,079.55 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $555.00 | $65.29 – $903.54 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $555.00 | $65.29 – $888.00 |
| Advocate Sherman Hospital | Elgin | $555.00 | $65.29 – $999.00 |