Fo nontorsion joint cf at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$217.50
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.
$435.00
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.
$145.29 with Blue Cross Blue Shield City of Chicago vs $465.08 with HSTechnology — 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 |
|---|---|---|---|
| Blue Cross Blue Shield City of Chicago | Commercial | $145.29 | ↓ -33% |
| United Healthcare Charter | Commercial | $151.82 | ↓ -30% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $154.43 | ↓ -29% |
| Blue Cross Blue Shield | HMO | $157.47 | ↓ -28% |
| Blue Cross Blue Shield Choice | Commercial | $157.47 | ↓ -28% |
| Blue Cross Blue Shield | PPO | $165.74 | ↓ -24% |
| Advocate Employee | Commercial | $171.39 | ↓ -21% |
| United Healthcare Nexus | Commercial | $175.74 | ↓ -19% |
| Cigna One Health | Commercial | $217.50 | ↑ +0% |
| Cigna | Commercial | $226.20 | ↑ +4% |
| Aetna | Commercial | $230.42 | ↑ +6% |
| United Healthcare Core Navigate | Commercial | $259.26 | ↑ +19% |
| Private Healthcare Systems | Commercial | $269.70 | ↑ +24% |
| United Healthcare | HMO | $300.15 | ↑ +38% |
| Multiplan | Commercial | $348.00 | ↑ +60% |
| Molina | Medicare Advantage | $351.23 | ↑ +61% |
| Ambetter | Medicare Advantage | $351.23 | ↑ +61% |
| Oscar Health HMO | Medicare Advantage | $363.35 | ↑ +67% |
| HSTechnology | Medicare Advantage | $465.08 | ↑ +114% |
Visitor-reported prices
Comments
Fo nontorsion joint cf at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $217.50 | $109.62 – $465.08 |
| Advocate Illinois Masonic Medical Center | Chicago | $217.50 | $98.75 – $465.08 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $217.50 | $146.58 – $465.08 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $167.36 | $281.79 – $281.79 |
| Advocate Condell Medical Center | Libertyville | not published | $351.23 – $527.05 |
| UnityPoint Health - Trinity Moline | Rock Island | not published | $120.27 – $387.57 |
| Advocate Sherman Hospital | Elgin | not published | $351.23 – $465.08 |
| Advocate South Suburban Hospital | Hazel Crest | not published | $351.23 – $858.65 |