Drainage external ear simple 69000 at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$800.00
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.
$1,600.00
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.
$630.40 with Advocate Employee vs $1,408.20 with HSTechnology — 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 | $630.40 | ↓ -21% |
| Cigna One Health | Commercial | $832.00 | ↑ +4% |
| Aetna | Commercial | $863.20 | ↑ +8% |
| Private Healthcare Systems | Commercial | $992.00 | ↑ +24% |
| Molina | Medicare Advantage | $1,063.48 | ↑ +33% |
| Ambetter | Medicare Advantage | $1,063.48 | ↑ +33% |
| Oscar Health HMO | Medicare Advantage | $1,100.15 | ↑ +38% |
| Blue Cross Blue Shield City of Chicago | Commercial | $1,164.80 | ↑ +46% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $1,236.80 | ↑ +55% |
| Blue Cross Blue Shield Choice | Commercial | $1,260.80 | ↑ +58% |
| Blue Cross Blue Shield | HMO | $1,260.80 | ↑ +58% |
| Multiplan | Commercial | $1,280.00 | ↑ +60% |
| Blue Cross Blue Shield | PPO | $1,326.40 | ↑ +66% |
| HSTechnology | Medicare Advantage | $1,408.20 | ↑ +76% |
| Cigna | Commercial | not published by hospital | — |
| United Healthcare Nexus | Commercial | not published by hospital | — |
| United Healthcare | HMO | not published by hospital | — |
| United Healthcare Core Navigate | Commercial | not published by hospital | — |
| United Healthcare Charter | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Drainage external ear simple 69000 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $360.60 | $110.40 – $317.40 |
| MercyOne Genesis Aledo Medical Center | Aledo | $360.60 | $155.25 – $162.15 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $557.50 | $742.91 – $1,229.33 |
| Advocate Christ Medical Center | Oak Lawn | $800.00 | $630.40 – $1,408.20 |
| Advocate Condell Medical Center | Libertyville | $800.00 | $630.40 – $1,408.20 |
| UnityPoint Health - Trinity Moline | Rock Island | $916.80 | $113.20 – $547.36 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $557.50 | $742.91 – $1,229.33 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $975.15 | $758.85 – $796.79 |