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Diagnostic Mammogram (one breast) at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$282.50
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.
$565.00
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.
$127.12 with Ambetter vs $508.50 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 | $127.12 | ↓ -55% |
| Molina | Medicare Advantage | $127.12 | ↓ -55% |
| Oscar Health HMO | Medicare Advantage | $131.51 | ↓ -53% |
| HSTechnology | Medicare Advantage | $168.33 | ↓ -40% |
| United Healthcare Charter | Commercial | $196.00 | ↓ -31% |
| United Healthcare Core Navigate | Commercial | $217.00 | ↓ -23% |
| Advocate Employee | Commercial | $222.61 | ↓ -21% |
| United Healthcare Nexus | Commercial | $223.00 | ↓ -21% |
| Cigna One Health | Commercial | $224.00 | ↓ -21% |
| Cigna | Commercial | $238.00 | ↓ -16% |
| United Healthcare | HMO | $249.00 | ↓ -12% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $323.18 | ↑ +14% |
| Aetna | Commercial | $326.97 | ↑ +16% |
| Blue Cross Blue Shield | HMO | $329.40 | ↑ +17% |
| Blue Cross Blue Shield City of Chicago | Commercial | $388.92 | ↑ +38% |
| Blue Cross Blue Shield Choice | Commercial | $420.25 | ↑ +49% |
| Blue Cross Blue Shield | PPO | $442.37 | ↑ +57% |
| Private Healthcare Systems | Commercial | $457.65 | ↑ +62% |
| Multiplan | Commercial | $508.50 | ↑ +80% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $231.60 | $25.92 – $264.30 |
| MercyOne Genesis Aledo Medical Center | Aledo | $231.60 | $92.70 – $96.82 |
| Advocate Christ Medical Center | Oak Lawn | $282.50 | $127.12 – $524.00 |
| Advocate Condell Medical Center | Libertyville | $282.50 | $127.12 – $452.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $282.50 | $127.12 – $524.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $401.76 | $35.36 – $221.47 |
| Advocate Illinois Masonic Medical Center | Chicago | $282.50 | $127.12 – $524.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $282.50 | $127.12 – $524.00 |