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Established Patient Office Visit (level 2) at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$120.00
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.
$240.00
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.
$22.69 with United Healthcare Charter vs $126.14 with Blue Cross Blue Shield — 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 | $22.69 | ↓ -81% |
| Advocate Employee | Commercial | $25.61 | ↓ -79% |
| United Healthcare Nexus | Commercial | $26.26 | ↓ -78% |
| Aetna | Commercial | $35.07 | ↓ -71% |
| United Healthcare Core Navigate | Commercial | $38.74 | ↓ -68% |
| Private Healthcare Systems | Commercial | $40.30 | ↓ -66% |
| United Healthcare | HMO | $44.85 | ↓ -63% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $50.25 | ↓ -58% |
| Blue Cross Blue Shield | HMO | $51.22 | ↓ -57% |
| Multiplan | Commercial | $52.00 | ↓ -57% |
| Cigna One Health | Commercial | $105.00 | ↓ -13% |
| Blue Cross Blue Shield City of Chicago | Commercial | $110.83 | ↓ -8% |
| Cigna | Commercial | $111.00 | ↓ -8% |
| Blue Cross Blue Shield Choice | Commercial | $119.85 | ↓ -0% |
| Blue Cross Blue Shield | PPO | $126.14 | ↑ +5% |
| 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 2) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $78.00 | $38.64 – $68.61 |
| MercyOne Genesis Aledo Medical Center | Aledo | $58.80 | $42.00 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $120.00 | $83.76 – $192.00 |
| Advocate Condell Medical Center | Libertyville | $120.00 | $94.56 – $192.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $83.20 | $32.24 – $94.45 |
| Advocate Illinois Masonic Medical Center | Chicago | $120.00 | $83.76 – $192.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $120.00 | $83.76 – $192.00 |
| Advocate Sherman Hospital | Elgin | $120.00 | $94.56 – $216.00 |