Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$275.00
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.
$550.00
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.
$130.28 with Blue Cross Blue Shield City of Chicago vs $495.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield City of Chicago | Commercial | $130.28 | ↓ -53% |
| Blue Cross Blue Shield Choice | Commercial | $140.78 | ↓ -49% |
| United Healthcare Charter | Commercial | $145.00 | ↓ -47% |
| Blue Cross Blue Shield | PPO | $148.19 | ↓ -46% |
| United Healthcare Core Navigate | Commercial | $159.00 | ↓ -42% |
| United Healthcare Nexus | Commercial | $164.00 | ↓ -40% |
| United Healthcare | HMO | $183.00 | ↓ -33% |
| Advocate Employee | Commercial | $216.70 | ↓ -21% |
| Cigna One Health | Commercial | $286.00 | ↑ +4% |
| Ambetter | Medicare Advantage | $307.43 | ↑ +12% |
| Molina | Medicare Advantage | $307.43 | ↑ +12% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $314.60 | ↑ +14% |
| Oscar Health HMO | Medicare Advantage | $318.03 | ↑ +16% |
| Aetna | Commercial | $318.29 | ↑ +16% |
| Blue Cross Blue Shield | HMO | $320.65 | ↑ +17% |
| Cigna | Commercial | $363.00 | ↑ +32% |
| HSTechnology | Medicare Advantage | $407.07 | ↑ +48% |
| Private Healthcare Systems | Commercial | $445.50 | ↑ +62% |
| Multiplan | Commercial | $495.00 | ↑ +80% |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $50.00 | not published |
| Advocate Christ Medical Center | Oak Lawn | $275.00 | $140.00 – $440.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $226.11 | $12.32 – $158.23 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $50.00 | not published |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $143.55 | $234.66 – $246.39 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $275.00 | $140.00 – $440.00 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $143.55 | $234.66 – $246.39 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $121.77 | $110.55 – $343.47 |