Exchange nephrostomy cath at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$1,780.00
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.
$3,560.00
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.
$851.04 with Advocate Employee vs $6,071.00 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 | $851.04 | ↓ -52% |
| Cigna One Health | Commercial | $1,123.20 | ↓ -37% |
| Aetna | Commercial | $1,165.32 | ↓ -35% |
| Cigna | Commercial | $1,209.60 | ↓ -32% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $1,315.44 | ↓ -26% |
| Private Healthcare Systems | Commercial | $1,339.20 | ↓ -25% |
| Blue Cross Blue Shield | HMO | $1,343.52 | ↓ -25% |
| Blue Cross Blue Shield City of Chicago | Commercial | $1,540.08 | ↓ -13% |
| Blue Cross Blue Shield Choice | Commercial | $1,665.36 | ↓ -6% |
| Multiplan | Commercial | $1,728.00 | ↓ -3% |
| Blue Cross Blue Shield | PPO | $1,753.92 | ↓ -1% |
| United Healthcare Charter | Commercial | $3,070.00 | ↑ +72% |
| Ambetter | Medicare Advantage | $3,096.34 | ↑ +74% |
| Molina | Medicare Advantage | $3,096.34 | ↑ +74% |
| Oscar Health HMO | Medicare Advantage | $3,203.11 | ↑ +80% |
| United Healthcare Nexus | Commercial | $3,558.00 | ↑ +100% |
| HSTechnology | Medicare Advantage | $4,099.98 | ↑ +130% |
| United Healthcare Core Navigate | Commercial | $5,246.00 | ↑ +195% |
| United Healthcare | HMO | $6,071.00 | ↑ +241% |
Visitor-reported prices
Comments
Exchange nephrostomy cath at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $3,710.40 | $1,319.36 – $3,793.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $1,150.00 | $658.00 – $3,628.95 |
| Advocate Christ Medical Center | Oak Lawn | $1,720.00 | $1,024.40 – $6,071.00 |
| Advocate Condell Medical Center | Libertyville | $1,720.00 | $827.40 – $4,681.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $3,998.20 | $89.29 – $2,204.00 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $1,150.00 | $658.00 – $3,628.95 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,244.65 | $2,240.09 – $2,352.10 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,720.00 | $780.12 – $6,071.00 |