CT lwr extremity w/o&w/dye at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$1,600.00
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.
$3,200.00
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.
$269.08 with Ambetter vs $2,056.00 with Multiplan — 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $269.08 | ↓ -83% |
| Molina | Medicare Advantage | $269.08 | ↓ -83% |
| Oscar Health HMO | Medicare Advantage | $278.36 | ↓ -83% |
| HSTechnology | Medicare Advantage | $356.30 | ↓ -78% |
| Cigna | Commercial | $653.00 | ↓ -59% |
| Cigna One Health | Commercial | $653.00 | ↓ -59% |
| United Healthcare Nexus | Commercial | $718.00 | ↓ -55% |
| United Healthcare | HMO | $718.00 | ↓ -55% |
| United Healthcare Charter | Commercial | $718.00 | ↓ -55% |
| United Healthcare Core Navigate | Commercial | $718.00 | ↓ -55% |
| Aetna | Commercial | $941.00 | ↓ -41% |
| Advocate Employee | Commercial | $1,012.58 | ↓ -37% |
| Blue Cross Blue Shield City of Chicago | Commercial | $1,307.44 | ↓ -18% |
| Blue Cross Blue Shield Choice | Commercial | $1,413.89 | ↓ -12% |
| Blue Cross Blue Shield | PPO | $1,488.08 | ↓ -7% |
| Private Healthcare Systems | Commercial | $1,593.40 | ↓ -0% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $1,986.61 | ↑ +24% |
| Blue Cross Blue Shield | HMO | $2,025.16 | ↑ +27% |
| Multiplan | Commercial | $2,056.00 | ↑ +29% |
Visitor-reported prices
Comments
CT lwr extremity w/o&w/dye at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,963.20 | $1.00 – $2,006.52 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,963.20 | $178.02 – $1,025.07 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $750.00 | $184.02 – $304.50 |
| Advocate Christ Medical Center | Oak Lawn | $1,590.00 | $269.08 – $2,040.00 |
| Advocate Condell Medical Center | Libertyville | $2,270.00 | $269.08 – $2,904.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,026.26 | $52.90 – $1,116.97 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $750.00 | $184.02 – $304.50 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $2,781.35 | $187.96 – $197.36 |