X-ray exam entire spi 6/> vw at Advocate Good Samaritan Hospital
3815 Highland Avenue, Downers Grove, IL · Advocate Health · · NPI 1578670543
$615.00
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.
$1,230.00
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.
$160.73 with Ambetter vs $984.00 with Multiplan — 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 |
|---|---|---|---|
| Ambetter | Medicare Advantage | $160.73 | ↓ -74% |
| Molina | Medicare Advantage | $160.73 | ↓ -74% |
| Oscar Health HMO | Medicare Advantage | $166.28 | ↓ -73% |
| HSTechnology | Medicare Advantage | $212.83 | ↓ -65% |
| United Healthcare Charter | Commercial | $220.00 | ↓ -64% |
| United Healthcare Nexus | Commercial | $293.00 | ↓ -52% |
| Cigna | Commercial | $355.58 | ↓ -42% |
| Cigna One Health | Commercial | $355.58 | ↓ -42% |
| Blue Cross Blue Shield City of Chicago | Commercial | $384.11 | ↓ -38% |
| Blue Cross Blue Shield Choice | Commercial | $415.38 | ↓ -32% |
| Blue Cross Blue Shield | PPO | $437.18 | ↓ -29% |
| Advocate Employee | Commercial | $484.62 | ↓ -21% |
| United Healthcare Core Navigate | Commercial | $549.00 | ↓ -11% |
| United Healthcare | HMO | $634.00 | ↑ +3% |
| Aetna | Commercial | $663.59 | ↑ +8% |
| Private Healthcare Systems | Commercial | $762.60 | ↑ +24% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $950.79 | ↑ +55% |
| Blue Cross Blue Shield | HMO | $969.24 | ↑ +58% |
| Multiplan | Commercial | $984.00 | ↑ +60% |
Visitor-reported prices
Comments
X-ray exam entire spi 6/> vw at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $115.20 | $54.71 – $176.64 |
| MercyOne Genesis Aledo Medical Center | Aledo | $115.20 | $106.34 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $175.00 | $94.64 – $181.49 |
| Advocate Christ Medical Center | Oak Lawn | $490.00 | $160.73 – $784.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $597.79 | $18.58 – $329.53 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $175.00 | $94.64 – $181.49 |
| Advocate Illinois Masonic Medical Center | Chicago | $760.00 | $160.73 – $1,216.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $760.00 | $160.73 – $1,216.00 |