Endo abl/incom vein/ext/laser/#1 36478 at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$5,570.00
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.
$11,140.00
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.
$3,419.92 with Advocate Employee vs $17,439.00 with United Healthcare — 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 | $3,419.92 | ↓ -39% |
| Cigna One Health | Commercial | $4,513.60 | ↓ -19% |
| Aetna | Commercial | $4,682.86 | ↓ -16% |
| Ambetter | Medicare Advantage | $4,757.47 | ↓ -15% |
| Molina | Medicare Advantage | $4,757.47 | ↓ -15% |
| Cigna | Commercial | $4,860.80 | ↓ -13% |
| Oscar Health HMO | Medicare Advantage | $4,921.53 | ↓ -12% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,286.12 | ↓ -5% |
| Private Healthcare Systems | Commercial | $5,381.60 | ↓ -3% |
| Blue Cross Blue Shield | HMO | $5,398.96 | ↓ -3% |
| Blue Cross Blue Shield City of Chicago | Commercial | $6,188.84 | ↑ +11% |
| HSTechnology | Medicare Advantage | $6,299.55 | ↑ +13% |
| Blue Cross Blue Shield Choice | Commercial | $6,692.28 | ↑ +20% |
| Multiplan | Commercial | $6,944.00 | ↑ +25% |
| Blue Cross Blue Shield | PPO | $7,048.16 | ↑ +27% |
| United Healthcare Charter | Commercial | $8,821.00 | ↑ +58% |
| United Healthcare Nexus | Commercial | $10,219.00 | ↑ +83% |
| United Healthcare Core Navigate | Commercial | $15,068.00 | ↑ +171% |
| United Healthcare | HMO | $17,439.00 | ↑ +213% |
Visitor-reported prices
Comments
Endo abl/incom vein/ext/laser/#1 36478 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $5,703.00 | $2,027.84 – $4,172.20 |
| MercyOne Genesis Aledo Medical Center | Aledo | $2,721.00 | $2,970.16 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $3,115.00 | $2,454.62 – $17,439.00 |
| Advocate Condell Medical Center | Libertyville | $3,410.00 | $2,687.08 – $9,476.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $5,160.00 | $240.71 – $2,448.63 |
| Advocate Illinois Masonic Medical Center | Chicago | $3,435.00 | $2,706.78 – $17,439.00 |
| Advocate Sherman Hospital | Elgin | $2,360.00 | $1,751.12 – $8,168.00 |
| Advocate South Suburban Hospital | Hazel Crest | $2,520.00 | $1,985.76 – $17,439.00 |