Hc fl sm bowel enteroclss tube w kub double contrast at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
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.
$269.08 with Ambetter vs $1,374.98 with Cigna — 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 | $269.08 | — |
| Molina | Medicare Advantage | $269.08 | — |
| Oscar Health HMO | Medicare Advantage | $278.36 | — |
| HSTechnology | Medicare Advantage | $356.30 | — |
| Aetna | Commercial | $597.58 | — |
| Blue Cross Blue Shield City of Chicago | Commercial | $812.84 | — |
| Blue Cross Blue Shield Choice | Commercial | $878.32 | — |
| Blue Cross Blue Shield | PPO | $924.55 | — |
| Cigna One Health | Commercial | $1,374.98 | — |
| Cigna | Commercial | $1,374.98 | — |
Visitor-reported prices
Comments
Hc fl sm bowel enteroclss tube w kub double contrast at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $627.60 | $114.38 – $962.32 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,090.00 | $220.00 – $1,867.02 |
| UnityPoint Health - Trinity Moline | Rock Island | $913.60 | $50.99 – $174.44 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $2,064.70 | $187.96 – $197.36 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $1,090.00 | $220.00 – $1,848.57 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $2,064.70 | $187.96 – $197.36 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $341.55 | $178.55 – $2,831.77 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $178.02 – $309.76 |