Abd paracentesis/w/o image guide 49082 at Advocate Sherman Hospital

1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364

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

$525.00

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.

$1,050.00

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.

$389.55 with Blue Cross Blue Shield City of Chicago vs $4,256.00 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 →

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 $389.55 ↓ -26%
Advocate Employee Commercial $413.70 ↓ -21%
Blue Cross Blue Shield Choice Commercial $421.05 ↓ -20%
Blue Cross Blue Shield PPO $443.10 ↓ -16%
Cigna One Health Commercial $546.00 ↑ +4%
Blue Cross Blue Shield Blue Precision Managed Care $600.60 ↑ +14%
Aetna Commercial $607.64 ↑ +16%
Blue Cross Blue Shield HMO $612.15 ↑ +17%
Cigna Commercial $693.00 ↑ +32%
Private Healthcare Systems Commercial $850.50 ↑ +62%
Multiplan Commercial $945.00 ↑ +80%
Ambetter Medicare Advantage $1,417.13 ↑ +170%
Molina Medicare Advantage $1,417.13 ↑ +170%
Oscar Health HMO Medicare Advantage $1,466.00 ↑ +179%
HSTechnology Medicare Advantage $1,876.48 ↑ +257%
United Healthcare Charter Commercial $3,371.00 ↑ +542%
United Healthcare Core Navigate Commercial $3,728.00 ↑ +610%
United Healthcare Nexus Commercial $3,830.00 ↑ +630%
United Healthcare HMO $4,256.00 ↑ +711%

Visitor-reported prices

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Abd paracentesis/w/o image guide 49082 at other Illinois hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Silvis Medical Center Silvis $931.20 $130.64 – $1,466.00
MercyOne Genesis Aledo Medical Center Aledo $931.20 $207.00 – $993.24
Uchicago Medicine Adventhealth Hinsdale Hinsdale $575.00 $430.00 – $1,574.55
Advocate Christ Medical Center Oak Lawn $890.00 $701.32 – $6,181.00
Advocate Good Samaritan Hospital Downers Grove $750.00 $591.00 – $6,181.00
UnityPoint Health - Trinity Moline Rock Island $832.63 $65.22 – $729.38
Uchicago Medicine Adventhealth La Grange La Grange $575.00 $430.00 – $1,574.55
SSM Health Good Samaritan Hospital - Mt. Vernon Mount Vernon $1,847.45 $971.94 – $1,020.54

All Illinois hospitals for this procedure →