Prq card revasc chronic addl at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$7,385.00
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.
$14,770.00
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.
$4,203.98 with Advocate Employee vs $25,111.00 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 | $4,203.98 | ↓ -43% |
| Cigna | Commercial | $5,335.00 | ↓ -28% |
| Cigna One Health | Commercial | $5,548.40 | ↓ -25% |
| Aetna | Commercial | $5,756.47 | ↓ -22% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $6,498.03 | ↓ -12% |
| Private Healthcare Systems | Commercial | $6,615.40 | ↓ -10% |
| Blue Cross Blue Shield | HMO | $6,636.74 | ↓ -10% |
| Blue Cross Blue Shield City of Chicago | Commercial | $7,607.71 | ↑ +3% |
| Blue Cross Blue Shield Choice | Commercial | $8,226.57 | ↑ +11% |
| Multiplan | Commercial | $8,536.00 | ↑ +16% |
| Blue Cross Blue Shield | PPO | $8,664.04 | ↑ +17% |
| United Healthcare Charter | Commercial | $12,700.00 | ↑ +72% |
| United Healthcare Nexus | Commercial | $14,716.00 | ↑ +99% |
| United Healthcare Core Navigate | Commercial | $21,695.00 | ↑ +194% |
| United Healthcare | HMO | $25,111.00 | ↑ +240% |
| HSTechnology | Medicare Advantage | not published by hospital | — |
| Molina | Medicare Advantage | not published by hospital | — |
| Ambetter | Medicare Advantage | not published by hospital | — |
| Oscar Health HMO | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Prq card revasc chronic addl at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $9,660.60 | $5,152.32 – $14,812.92 |
| Advocate Christ Medical Center | Oak Lawn | $2,360.00 | $1,859.68 – $25,111.00 |
| Advocate Condell Medical Center | Libertyville | $12,180.00 | $4,921.06 – $16,667.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $17,016.54 | $5,764.35 – $11,209.64 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $8,329.20 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $12,330.00 | $7,123.52 – $25,111.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $7,330.00 | $5,776.04 – $25,111.00 |
| Advocate Sherman Hospital | Elgin | $8,940.00 | $6,633.48 – $16,092.00 |