Rmvl icd gen w/rplc icd gen dual lead sys at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$25,165.00
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.
$50,330.00
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.
$19,830.02 with Advocate Employee vs $111,480.00 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 | $19,830.02 | ↓ -21% |
| Cigna | Commercial | $25,165.00 | ↑ +0% |
| Cigna One Health | Commercial | $26,171.60 | ↑ +4% |
| Aetna | Commercial | $27,153.04 | ↑ +8% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $30,650.97 | ↑ +22% |
| Private Healthcare Systems | Commercial | $31,204.60 | ↑ +24% |
| Blue Cross Blue Shield | HMO | $31,305.26 | ↑ +24% |
| Molina | Medicare Advantage | $33,927.62 | ↑ +35% |
| Ambetter | Medicare Advantage | $33,927.62 | ↑ +35% |
| Oscar Health HMO | Medicare Advantage | $35,097.54 | ↑ +39% |
| Blue Cross Blue Shield City of Chicago | Commercial | $35,885.29 | ↑ +43% |
| Blue Cross Blue Shield Choice | Commercial | $38,804.43 | ↑ +54% |
| Multiplan | Commercial | $40,264.00 | ↑ +60% |
| Blue Cross Blue Shield | PPO | $40,867.96 | ↑ +62% |
| HSTechnology | Medicare Advantage | $44,924.85 | ↑ +79% |
| United Healthcare Charter | Commercial | $56,379.00 | ↑ +124% |
| United Healthcare Nexus | Commercial | $65,328.00 | ↑ +160% |
| United Healthcare Core Navigate | Commercial | $96,319.00 | ↑ +283% |
| United Healthcare | HMO | $111,480.00 | ↑ +343% |
Visitor-reported prices
Comments
Rmvl icd gen w/rplc icd gen dual lead sys at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $42,451.80 | $22,044.50 – $65,092.76 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $8,475.00 | $4,150.00 – $38,615.34 |
| Advocate Christ Medical Center | Oak Lawn | $13,750.00 | $10,835.00 – $111,480.00 |
| Advocate Condell Medical Center | Libertyville | $28,675.00 | $22,595.90 – $45,880.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $63,970.92 | $335.20 – $35,263.97 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $8,475.00 | $4,150.00 – $38,615.34 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $40,989.30 | $23,836.63 – $25,028.46 |
| Advocate Illinois Masonic Medical Center | Chicago | $33,315.00 | $26,252.22 – $111,480.00 |