Analysis tumor at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
not published by hospital
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.
not published by hospital
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.
$113.44 with Aetna vs $398.78 with Cigna One Health — 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 |
|---|---|---|---|
| Aetna | Commercial | $113.44 | — |
| United Healthcare Nexus | Commercial | $143.50 | — |
| United Healthcare | HMO | $143.50 | — |
| United Healthcare Charter | Commercial | $143.50 | — |
| United Healthcare Core Navigate | Commercial | $143.50 | — |
| Blue Cross Blue Shield City of Chicago | Commercial | $185.87 | — |
| Blue Cross Blue Shield Choice | Commercial | $201.00 | — |
| Blue Cross Blue Shield | PPO | $211.54 | — |
| Ambetter | Medicare Advantage | $259.01 | — |
| Molina | Medicare Advantage | $259.01 | — |
| Oscar Health HMO | Medicare Advantage | $267.94 | — |
| HSTechnology | Medicare Advantage | $342.97 | — |
| Cigna | Commercial | $398.78 | — |
| Cigna One Health | Commercial | $398.78 | — |
Visitor-reported prices
Comments
Analysis tumor at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $274.80 | $146.56 – $421.36 |
| UnityPoint Health - Trinity Moline | Rock Island | $248.80 | $44.61 – $167.91 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $181.50 | $66.14 – $365.01 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $171.36 – $427.80 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $32.80 – $295.77 |
| Advocate Christ Medical Center | Oak Lawn | not published | $113.44 – $398.78 |
| Advocate Condell Medical Center | Libertyville | not published | $113.44 – $398.78 |
| Uchicago Medicine Adventhealth La Grange | La Grange | not published | $31.51 – $295.77 |