Ins/rpl pm gen exist sgl lead at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$4,150.00
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.
?
What you pay up front if you don't use insurance.
$8,300.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$3,270.20 with Advocate Employee vs $47,462.00 with United Healthcare — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $3,270.20 | ↓ -21% |
| Cigna | Commercial | $4,150.00 | ↑ +0% |
| Cigna One Health | Commercial | $4,316.00 | ↑ +4% |
| Aetna | Commercial | $4,477.85 | ↑ +8% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,054.70 | ↑ +22% |
| Private Healthcare Systems | Commercial | $5,146.00 | ↑ +24% |
| Blue Cross Blue Shield | HMO | $5,162.60 | ↑ +24% |
| Blue Cross Blue Shield City of Chicago | Commercial | $5,917.90 | ↑ +43% |
| Blue Cross Blue Shield Choice | Commercial | $6,399.30 | ↑ +54% |
| Multiplan | Commercial | $6,640.00 | ↑ +60% |
| Blue Cross Blue Shield | PPO | $6,739.60 | ↑ +62% |
| Ambetter | Medicare Advantage | $12,509.22 | ↑ +201% |
| Molina | Medicare Advantage | $12,509.22 | ↑ +201% |
| Oscar Health HMO | Medicare Advantage | $12,940.57 | ↑ +212% |
| HSTechnology | Medicare Advantage | $16,563.93 | ↑ +299% |
| United Healthcare Charter | Commercial | $24,003.00 | ↑ +478% |
| United Healthcare Nexus | Commercial | $27,813.00 | ↑ +570% |
| United Healthcare Core Navigate | Commercial | $41,007.00 | ↑ +888% |
| United Healthcare | HMO | $47,462.00 | ↑ +1044% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist sgl lead at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $4,548.00 | $2,425.60 – $12,940.57 |
| Advocate Christ Medical Center | Oak Lawn | $8,305.00 | $6,544.34 – $47,462.00 |
| Advocate Condell Medical Center | Libertyville | $8,770.00 | $6,910.76 – $24,503.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $14,592.40 | $281.24 – $8,044.06 |
| Advocate Illinois Masonic Medical Center | Chicago | $10,945.00 | $8,624.66 – $47,462.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $4,315.00 | $3,400.22 – $47,462.00 |
| Advocate Sherman Hospital | Elgin | $4,505.00 | $3,342.71 – $19,537.00 |
| Advocate South Suburban Hospital | Hazel Crest | $6,895.00 | $5,433.26 – $47,462.00 |