Initiation & management bipap/cpap initial day at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$570.00
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.
$1,140.00
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.
$140.00 with United Healthcare Charter vs $716.00 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 | $140.00 | ↓ -75% |
| United Healthcare Nexus | Commercial | $162.00 | ↓ -72% |
| United Healthcare Core Navigate | Commercial | $239.00 | ↓ -58% |
| United Healthcare | HMO | $276.00 | ↓ -52% |
| Molina | Medicare Advantage | $307.43 | ↓ -46% |
| Ambetter | Medicare Advantage | $307.43 | ↓ -46% |
| Oscar Health HMO | Medicare Advantage | $318.03 | ↓ -44% |
| Advocate Employee | Commercial | $352.63 | ↓ -38% |
| Blue Cross Blue Shield City of Chicago | Commercial | $375.85 | ↓ -34% |
| Blue Cross Blue Shield Choice | Commercial | $406.45 | ↓ -29% |
| HSTechnology | Medicare Advantage | $407.07 | ↓ -29% |
| Blue Cross Blue Shield | PPO | $427.78 | ↓ -25% |
| Cigna One Health | Commercial | $465.40 | ↓ -18% |
| Aetna | Commercial | $482.85 | ↓ -15% |
| Private Healthcare Systems | Commercial | $554.90 | ↓ -3% |
| Cigna | Commercial | $590.70 | ↑ +4% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $691.84 | ↑ +21% |
| Blue Cross Blue Shield | HMO | $705.26 | ↑ +24% |
| Multiplan | Commercial | $716.00 | ↑ +26% |
Visitor-reported prices
Comments
Initiation & management bipap/cpap initial day at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $646.20 | $139.91 – $565.80 |
| MercyOne Genesis Aledo Medical Center | Aledo | $369.00 | $85.00 – $289.05 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $310.00 | not published |
| Advocate Christ Medical Center | Oak Lawn | $447.50 | $140.00 – $600.00 |
| Advocate Condell Medical Center | Libertyville | $482.50 | $143.00 – $716.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,398.40 | $33.59 – $303.85 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $310.00 | not published |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $288.20 | $234.66 – $246.39 |