healthcosts.net
Established Patient Office Visit (level 1) at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$90.00
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.
$180.00
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.
$62.82 with United Healthcare Charter vs $144.00 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 |
|---|---|---|---|
| United Healthcare Charter | Commercial | $62.82 | ↓ -30% |
| Advocate Employee | Commercial | $70.92 | ↓ -21% |
| United Healthcare Nexus | Commercial | $72.72 | ↓ -19% |
| Cigna One Health | Commercial | $93.60 | ↑ +4% |
| Aetna | Commercial | $97.11 | ↑ +8% |
| Cigna | Commercial | $100.80 | ↑ +12% |
| United Healthcare Core Navigate | Commercial | $107.28 | ↑ +19% |
| Private Healthcare Systems | Commercial | $111.60 | ↑ +24% |
| Blue Cross Blue Shield City of Chicago | Commercial | $118.58 | ↑ +32% |
| United Healthcare | HMO | $124.20 | ↑ +38% |
| Blue Cross Blue Shield Choice | Commercial | $128.24 | ↑ +42% |
| Blue Cross Blue Shield | PPO | $134.97 | ↑ +50% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $139.14 | ↑ +55% |
| Blue Cross Blue Shield | HMO | $141.84 | ↑ +58% |
| Multiplan | Commercial | $144.00 | ↑ +60% |
| Oscar Health HMO | Medicare Advantage | not published by hospital | — |
| Molina | Medicare Advantage | not published by hospital | — |
| HSTechnology | Medicare Advantage | not published by hospital | — |
| Ambetter | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $39.00 | $20.80 – $52.98 |
| MercyOne Genesis Aledo Medical Center | Aledo | $39.00 | $20.00 – $24.91 |
| Advocate Christ Medical Center | Oak Lawn | $90.00 | $62.82 – $144.00 |
| Advocate Condell Medical Center | Libertyville | $90.00 | $70.92 – $144.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $40.80 | $8.04 – $19.19 |
| Advocate Illinois Masonic Medical Center | Chicago | $90.00 | $62.82 – $144.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $90.00 | $62.82 – $144.00 |
| Advocate Sherman Hospital | Elgin | $90.00 | $55.83 – $162.00 |