Ercp sphincter pressure meas at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$4,450.00
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.
$8,900.00
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.
$2,867.32 with Ambetter vs $12,362.00 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $2,867.32 | ↓ -36% |
| Molina | Medicare Advantage | $2,867.32 | ↓ -36% |
| Oscar Health HMO | Medicare Advantage | $2,966.19 | ↓ -33% |
| Advocate Employee | Commercial | $3,506.60 | ↓ -21% |
| HSTechnology | Medicare Advantage | $3,796.72 | ↓ -15% |
| Cigna One Health | Commercial | $4,628.00 | ↑ +4% |
| Aetna | Commercial | $4,801.55 | ↑ +8% |
| Cigna | Commercial | $4,984.00 | ↑ +12% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,420.10 | ↑ +22% |
| Private Healthcare Systems | Commercial | $5,518.00 | ↑ +24% |
| Blue Cross Blue Shield | HMO | $5,535.80 | ↑ +24% |
| United Healthcare Charter | Commercial | $6,296.00 | ↑ +41% |
| Blue Cross Blue Shield City of Chicago | Commercial | $6,345.70 | ↑ +43% |
| Blue Cross Blue Shield Choice | Commercial | $6,861.90 | ↑ +54% |
| Multiplan | Commercial | $7,120.00 | ↑ +60% |
| Blue Cross Blue Shield | PPO | $7,226.80 | ↑ +62% |
| United Healthcare Nexus | Commercial | $7,295.00 | ↑ +64% |
| United Healthcare Core Navigate | Commercial | $10,757.00 | ↑ +142% |
| United Healthcare | HMO | $12,362.00 | ↑ +178% |
Visitor-reported prices
Comments
Ercp sphincter pressure meas at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $904.80 | $318.21 – $1,475.78 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $1,977.46 – $2,966.19 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $1,037.00 – $7,176.95 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $576.00 – $3,331.27 |
| Advocate Christ Medical Center | Oak Lawn | not published | $2,867.32 – $12,362.00 |
| Advocate Condell Medical Center | Libertyville | not published | $2,867.32 – $8,003.00 |
| Uchicago Medicine Adventhealth La Grange | La Grange | not published | $576.00 – $3,331.27 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | not published | $2,056.34 – $2,159.15 |