Tc-99m exame autol wbc diag per dose 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

$1,314.50

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.

$2,629.00

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.

$1,035.83 with Advocate Employee vs $6,037.39 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 →

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
Advocate Employee Commercial $1,035.83 ↓ -21%
Molina Medicare Advantage $1,508.46 ↑ +15%
Ambetter Medicare Advantage $1,508.46 ↑ +15%
Oscar Health HMO Medicare Advantage $1,560.48 ↑ +19%
Private Healthcare Systems Commercial $1,629.98 ↑ +24%
Blue Cross Blue Shield City of Chicago Commercial $1,913.91 ↑ +46%
HSTechnology Medicare Advantage $1,997.41 ↑ +52%
Blue Cross Blue Shield Blue Precision Managed Care $2,032.22 ↑ +55%
Blue Cross Blue Shield Choice Commercial $2,071.65 ↑ +58%
Blue Cross Blue Shield HMO $2,071.65 ↑ +58%
Multiplan Commercial $2,103.20 ↑ +60%
Blue Cross Blue Shield PPO $2,179.44 ↑ +66%
United Healthcare Charter Commercial $2,947.25 ↑ +124%
United Healthcare Nexus Commercial $2,947.25 ↑ +124%
Cigna Commercial $3,496.50 ↑ +166%
Cigna One Health Commercial $3,496.50 ↑ +166%
United Healthcare Core Navigate Commercial $6,037.39 ↑ +359%
United Healthcare HMO $6,037.39 ↑ +359%
Aetna Commercial not published by hospital

Visitor-reported prices

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Tc-99m exame autol wbc diag per dose at other Illinois hospitals

Hospital City Cash price Negotiated range
Uchicago Medicine Adventhealth Hinsdale Hinsdale $2,109.70 not published
UnityPoint Health - Trinity Moline Rock Island $3,500.83 $977.90 – $2,306.17
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon $3,581.05 not published
SSM Health St. Mary's Hospital - Centralia Centralia $3,581.05 not published
Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) Chicago $1,394.58 $3,496.50 – $3,496.50
MercyOne Genesis Silvis Medical Center Silvis not published $1,084.45 – $1,626.68
MercyOne Genesis Aledo Medical Center Aledo not published $1,040.32 – $1,040.32
Advocate Christ Medical Center Oak Lawn not published $1,508.46 – $6,037.39

All Illinois hospitals for this procedure →