Prq card stent w/angio addl at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$7,380.00
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.
$14,760.00
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.
$4,400.98 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 | $4,400.98 | ↓ -40% |
| Cigna | Commercial | $5,585.00 | ↓ -24% |
| Cigna One Health | Commercial | $5,808.40 | ↓ -21% |
| Aetna | Commercial | $6,026.22 | ↓ -18% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $6,802.53 | ↓ -8% |
| Private Healthcare Systems | Commercial | $6,925.40 | ↓ -6% |
| Blue Cross Blue Shield | HMO | $6,947.74 | ↓ -6% |
| Blue Cross Blue Shield City of Chicago | Commercial | $7,964.21 | ↑ +8% |
| Blue Cross Blue Shield Choice | Commercial | $8,612.07 | ↑ +17% |
| Multiplan | Commercial | $8,936.00 | ↑ +21% |
| Blue Cross Blue Shield | PPO | $9,070.04 | ↑ +23% |
| 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 stent w/angio addl at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $8,239.20 | $4,394.24 – $12,633.44 |
| Advocate Christ Medical Center | Oak Lawn | $3,685.00 | $2,903.78 – $25,111.00 |
| Advocate Condell Medical Center | Libertyville | $8,540.00 | $4,408.86 – $16,667.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $15,218.33 | $5,155.21 – $10,025.07 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $9,721.80 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $9,780.00 | $6,867.42 – $25,111.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $6,225.00 | $4,905.30 – $25,111.00 |
| Advocate Sherman Hospital | Elgin | $8,355.00 | $6,199.41 – $15,039.00 |