Brcassure comprehensive panel-sendout 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.
$1,824.88 with United Healthcare Nexus vs $8,293.30 with Cigna — 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 |
|---|---|---|---|
| United Healthcare Nexus | Commercial | $1,824.88 | — |
| United Healthcare | HMO | $1,824.88 | — |
| United Healthcare Core Navigate | Commercial | $1,824.88 | — |
| United Healthcare Charter | Commercial | $1,824.88 | — |
| Ambetter | Medicare Advantage | $2,646.08 | — |
| Molina | Medicare Advantage | $2,646.08 | — |
| Oscar Health HMO | Medicare Advantage | $2,737.32 | — |
| HSTechnology | Medicare Advantage | $3,503.77 | — |
| Cigna One Health | Commercial | $8,293.30 | — |
| Cigna | Commercial | $8,293.30 | — |
Visitor-reported prices
Comments
Brcassure comprehensive panel-sendout at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $4,872.60 | $1,904.28 – $7,471.32 |
| MercyOne Genesis Aledo Medical Center | Aledo | $5,110.20 | $1,824.88 – $3,816.87 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $1,325.00 | $1,786.56 – $2,956.31 |
| UnityPoint Health - Trinity Moline | Rock Island | $3,980.80 | $3.50 – $2,919.81 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $1,325.00 | $1,786.56 – $2,956.31 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $4,119.50 | $1,824.88 – $1,916.12 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $4,119.50 | $1,824.88 – $1,916.12 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $2,653.20 | $1,824.88 – $7,591.12 |