healthcosts.net
Blood Culture Test at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$82.50
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.
$165.00
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.
$10.32 with United Healthcare vs $132.00 with Multiplan — 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 |
|---|---|---|---|
| United Healthcare | HMO | $10.32 | ↓ -87% |
| United Healthcare Charter | Commercial | $10.32 | ↓ -87% |
| United Healthcare Core Navigate | Commercial | $10.32 | ↓ -87% |
| United Healthcare Nexus | Commercial | $10.32 | ↓ -87% |
| Ambetter | Medicare Advantage | $14.96 | ↓ -82% |
| Molina | Medicare Advantage | $14.96 | ↓ -82% |
| Oscar Health HMO | Medicare Advantage | $15.48 | ↓ -81% |
| HSTechnology | Medicare Advantage | $19.81 | ↓ -76% |
| Cigna | Commercial | $47.62 | ↓ -42% |
| Cigna One Health | Commercial | $47.62 | ↓ -42% |
| Blue Cross Blue Shield City of Chicago | Commercial | $49.56 | ↓ -40% |
| Blue Cross Blue Shield Choice | Commercial | $53.60 | ↓ -35% |
| Aetna | Commercial | $55.94 | ↓ -32% |
| Blue Cross Blue Shield | PPO | $56.41 | ↓ -32% |
| Advocate Employee | Commercial | $65.01 | ↓ -21% |
| Private Healthcare Systems | Commercial | $102.30 | ↑ +24% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $127.55 | ↑ +55% |
| Blue Cross Blue Shield | HMO | $130.02 | ↑ +58% |
| Multiplan | Commercial | $132.00 | ↑ +60% |
Visitor-reported prices
Comments
Blood Culture Test at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $112.20 | $8.01 – $159.16 |
| MercyOne Genesis Aledo Medical Center | Aledo | $112.20 | $11.87 – $81.31 |
| Advocate Christ Medical Center | Oak Lawn | $82.50 | $10.32 – $132.00 |
| Advocate Condell Medical Center | Libertyville | $105.00 | $10.32 – $168.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $38.58 | $3.50 – $21.27 |
| Advocate Illinois Masonic Medical Center | Chicago | $80.00 | $10.32 – $128.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $75.00 | $10.32 – $120.00 |
| Advocate Sherman Hospital | Elgin | $137.50 | $10.32 – $247.50 |