Ins picc wo subq prt/pmp w image guidnc <5yr at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$1,320.00
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.
$2,640.00
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.
$934.51 with Ambetter 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $934.51 | ↓ -29% |
| Molina | Medicare Advantage | $934.51 | ↓ -29% |
| Oscar Health HMO | Medicare Advantage | $966.73 | ↓ -27% |
| Advocate Employee | Commercial | $1,040.16 | ↓ -21% |
| HSTechnology | Medicare Advantage | $1,237.41 | ↓ -6% |
| Cigna One Health | Commercial | $1,372.80 | ↑ +4% |
| Aetna | Commercial | $1,424.28 | ↑ +8% |
| Cigna | Commercial | $1,478.40 | ↑ +12% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $1,607.76 | ↑ +22% |
| Private Healthcare Systems | Commercial | $1,636.80 | ↑ +24% |
| Blue Cross Blue Shield | HMO | $1,642.08 | ↑ +24% |
| Blue Cross Blue Shield City of Chicago | Commercial | $1,882.32 | ↑ +43% |
| Blue Cross Blue Shield Choice | Commercial | $2,035.44 | ↑ +54% |
| Multiplan | Commercial | $2,112.00 | ↑ +60% |
| Blue Cross Blue Shield | PPO | $2,143.68 | ↑ +62% |
| United Healthcare Charter | Commercial | $3,070.00 | ↑ +133% |
| United Healthcare Nexus | Commercial | $3,558.00 | ↑ +170% |
| United Healthcare Core Navigate | Commercial | $5,246.00 | ↑ +297% |
| United Healthcare | HMO | $6,071.00 | ↑ +360% |
Visitor-reported prices
Comments
Ins picc wo subq prt/pmp w image guidnc <5yr at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $886.20 | $1,158.47 – $1,358.84 |
| MercyOne Genesis Aledo Medical Center | Aledo | $886.20 | $2,970.16 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $1,610.00 | $934.51 – $6,071.00 |
| Advocate Condell Medical Center | Libertyville | $1,950.00 | $934.51 – $4,681.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,061.60 | $72.75 – $605.82 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,510.00 | $934.51 – $6,071.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $1,850.00 | $934.51 – $6,071.00 |
| Advocate Sherman Hospital | Elgin | $2,175.00 | $934.51 – $4,256.00 |