Cath plc art/grft/angio right hrt at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$11,220.00
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.
$22,440.00
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.
$4,861.63 with Molina vs $20,196.00 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 |
|---|---|---|---|
| Molina | Medicare Advantage | $4,861.63 | ↓ -57% |
| Ambetter | Medicare Advantage | $4,861.63 | ↓ -57% |
| Oscar Health HMO | Medicare Advantage | $5,029.28 | ↓ -55% |
| HSTechnology | Medicare Advantage | $6,437.47 | ↓ -43% |
| United Healthcare Charter | Commercial | $7,860.00 | ↓ -30% |
| Blue Cross Blue Shield City of Chicago | Commercial | $8,325.24 | ↓ -26% |
| United Healthcare Core Navigate | Commercial | $8,692.00 | ↓ -23% |
| Advocate Employee | Commercial | $8,841.36 | ↓ -21% |
| United Healthcare Nexus | Commercial | $8,932.00 | ↓ -20% |
| Blue Cross Blue Shield Choice | Commercial | $8,998.44 | ↓ -20% |
| Blue Cross Blue Shield | PPO | $9,469.68 | ↓ -16% |
| United Healthcare | HMO | $9,925.00 | ↓ -12% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $10,995.60 | ↓ -2% |
| Blue Cross Blue Shield | HMO | $11,197.56 | ↓ -0% |
| Cigna One Health | Commercial | $11,668.80 | ↑ +4% |
| Cigna | Commercial | $12,566.40 | ↑ +12% |
| Aetna | Commercial | $12,986.03 | ↑ +16% |
| Private Healthcare Systems | Commercial | $18,176.40 | ↑ +62% |
| Multiplan | Commercial | $20,196.00 | ↑ +80% |
Visitor-reported prices
Comments
Cath plc art/grft/angio right hrt at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $11,227.80 | $2,435.39 – $17,215.96 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $2,375.00 | $3,401.16 – $5,628.06 |
| Advocate Christ Medical Center | Oak Lawn | $4,600.00 | $3,624.80 – $18,102.00 |
| Advocate Condell Medical Center | Libertyville | $8,230.00 | $4,861.63 – $13,168.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $7,255.00 | $4,861.63 – $18,102.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $15,139.72 | $301.77 – $8,345.77 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $2,375.00 | $3,401.16 – $5,628.06 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $8,908.90 | $3,474.11 – $3,647.82 |