Drainage of eye at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$2,360.00
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.
$4,720.00
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.
$1,859.68 with Advocate Employee vs $4,564.76 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 | $1,859.68 | ↓ -21% |
| Cigna One Health | Commercial | $2,454.40 | ↑ +4% |
| Aetna | Commercial | $2,546.44 | ↑ +8% |
| Private Healthcare Systems | Commercial | $2,926.40 | ↑ +24% |
| Blue Cross Blue Shield City of Chicago | Commercial | $3,436.16 | ↑ +46% |
| Molina | Medicare Advantage | $3,447.34 | ↑ +46% |
| Ambetter | Medicare Advantage | $3,447.34 | ↑ +46% |
| Oscar Health HMO | Medicare Advantage | $3,566.22 | ↑ +51% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $3,648.56 | ↑ +55% |
| Blue Cross Blue Shield Choice | Commercial | $3,719.36 | ↑ +58% |
| Blue Cross Blue Shield | HMO | $3,719.36 | ↑ +58% |
| Multiplan | Commercial | $3,776.00 | ↑ +60% |
| Blue Cross Blue Shield | PPO | $3,912.88 | ↑ +66% |
| HSTechnology | Medicare Advantage | $4,564.76 | ↑ +93% |
| 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 of eye at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $5,027.33 | $80.65 – $2,771.31 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $2,360.00 | $1,859.68 – $4,564.76 |
| Advocate Sherman Hospital | Elgin | $2,360.00 | $1,444.32 – $4,564.76 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $1,038.71 – $3,566.22 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $334.00 – $2,813.10 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $430.00 – $4,006.43 |
| Advocate Christ Medical Center | Oak Lawn | not published | $3,181.00 – $6,291.00 |
| Advocate Condell Medical Center | Libertyville | not published | $3,202.00 – $4,564.76 |