Biopsy of prostate at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$2,110.00
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.
$4,220.00
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.
$1,662.68 with Advocate Employee vs $6,181.00 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 |
|---|---|---|---|
| Advocate Employee | Commercial | $1,662.68 | ↓ -21% |
| Cigna One Health | Commercial | $2,194.40 | ↑ +4% |
| Aetna | Commercial | $2,276.69 | ↑ +8% |
| Cigna | Commercial | $2,363.20 | ↑ +12% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $2,569.98 | ↑ +22% |
| Private Healthcare Systems | Commercial | $2,616.40 | ↑ +24% |
| Blue Cross Blue Shield | HMO | $2,624.84 | ↑ +24% |
| Blue Cross Blue Shield City of Chicago | Commercial | $3,008.86 | ↑ +43% |
| Ambetter | Medicare Advantage | $3,096.34 | ↑ +47% |
| Molina | Medicare Advantage | $3,096.34 | ↑ +47% |
| United Healthcare Charter | Commercial | $3,126.00 | ↑ +48% |
| Oscar Health HMO | Medicare Advantage | $3,203.11 | ↑ +52% |
| Blue Cross Blue Shield Choice | Commercial | $3,253.62 | ↑ +54% |
| Multiplan | Commercial | $3,376.00 | ↑ +60% |
| Blue Cross Blue Shield | PPO | $3,426.64 | ↑ +62% |
| United Healthcare Nexus | Commercial | $3,622.00 | ↑ +72% |
| HSTechnology | Medicare Advantage | $4,099.98 | ↑ +94% |
| United Healthcare Core Navigate | Commercial | $5,340.00 | ↑ +153% |
| United Healthcare | HMO | $6,181.00 | ↑ +193% |
Visitor-reported prices
Comments
Biopsy of prostate at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,000.20 | $533.44 – $3,343.15 |
| Advocate Christ Medical Center | Oak Lawn | $1,980.00 | $1,560.24 – $6,181.00 |
| Advocate Condell Medical Center | Libertyville | $2,930.00 | $2,308.84 – $4,688.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,598.82 | $116.75 – $1,593.66 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,727.00 | not published |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $2,600.00 | $2,048.80 – $6,181.00 |
| Advocate Sherman Hospital | Elgin | $1,715.00 | $1,272.53 – $4,256.00 |
| Advocate South Suburban Hospital | Hazel Crest | $735.00 | $579.18 – $6,181.00 |