Valvuloplasty pulmonary at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
not published by hospital
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.
not published by hospital
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.
$6,943.00 with Blue Cross Blue Shield City of Chicago 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 |
|---|---|---|---|
| Blue Cross Blue Shield City of Chicago | Commercial | $6,943.00 | — |
| Blue Cross Blue Shield Choice | Commercial | $7,508.26 | — |
| Blue Cross Blue Shield | PPO | $7,902.22 | — |
| United Healthcare Charter | Commercial | $12,700.00 | — |
| United Healthcare Nexus | Commercial | $14,716.00 | — |
| Ambetter | Medicare Advantage | $17,141.37 | — |
| Molina | Medicare Advantage | $17,141.37 | — |
| Oscar Health HMO | Medicare Advantage | $17,732.46 | — |
| United Healthcare Core Navigate | Commercial | $21,695.00 | — |
| HSTechnology | Medicare Advantage | $22,697.54 | — |
| United Healthcare | HMO | $25,111.00 | — |
Visitor-reported prices
Comments
Valvuloplasty pulmonary at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $16,770.60 | $6,169.14 – $25,714.92 |
| Advocate Christ Medical Center | Oak Lawn | $7,140.00 | $5,626.32 – $25,111.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,338.40 | $943.21 – $8,822.52 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $2,167.00 – $22,769.26 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $5,474.00 – $20,040.97 |
| Advocate Condell Medical Center | Libertyville | not published | $4,279.26 – $22,697.54 |
| Uchicago Medicine Adventhealth La Grange | La Grange | not published | $5,474.00 – $20,040.97 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | not published | $12,370.97 – $12,989.52 |