Splint extn xsm w sof-stretch rolyan at Advocate Good Samaritan Hospital

3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543

Source: hospital's published price file ↗ · Published Nov 4, 2025 · Ingested Aug 13, 2026

$55.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$110.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$35.07 with Blue Cross Blue Shield City of Chicago vs $138.30 with HSTechnology — 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 →

Payer
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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
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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
Blue Cross Blue Shield City of Chicago Commercial $35.07 ↓ -36%
United Healthcare Charter Commercial $36.65 ↓ -33%
Blue Cross Blue Shield Blue Precision Managed Care $37.28 ↓ -32%
Blue Cross Blue Shield HMO $38.01 ↓ -31%
Blue Cross Blue Shield Choice Commercial $38.01 ↓ -31%
Blue Cross Blue Shield PPO $40.01 ↓ -27%
Advocate Employee Commercial $41.37 ↓ -25%
United Healthcare Nexus Commercial $42.42 ↓ -23%
Cigna One Health Commercial $52.50 ↓ -5%
Cigna Commercial $54.60 ↓ -1%
Aetna Commercial $55.62 ↑ +1%
United Healthcare Core Navigate Commercial $62.58 ↑ +14%
Private Healthcare Systems Commercial $65.10 ↑ +18%
United Healthcare HMO $72.45 ↑ +32%
Multiplan Commercial $84.00 ↑ +53%
Molina Medicare Advantage $104.44 ↑ +90%
Ambetter Medicare Advantage $104.44 ↑ +90%
Oscar Health HMO Medicare Advantage $108.05 ↑ +96%
HSTechnology Medicare Advantage $138.30 ↑ +151%

Visitor-reported prices

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Splint extn xsm w sof-stretch rolyan at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $36.00 $10.88 – $29.58
MercyOne Genesis Aledo Medical Center Aledo $36.00 $15.30 – $15.98
Advocate Christ Medical Center Oak Lawn $55.00 $27.72 – $138.30
Advocate Condell Medical Center Libertyville $55.00 $23.54 – $138.30
Advocate Illinois Masonic Medical Center Chicago $55.00 $24.97 – $138.30
Advocate Childrens Hospital - Park Ridge Park Ridge $55.00 $36.65 – $138.30
Advocate Sherman Hospital Elgin $52.50 $33.08 – $138.30
Advocate South Suburban Hospital Hazel Crest $52.50 $32.87 – $138.30

All Illinois hospitals for this procedure →