Ins lv lead exist pm/icd at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$6,080.00
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.
$12,160.00
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.
$4,511.36 with Blue Cross Blue Shield City of Chicago vs $35,962.00 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 →
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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 | $4,511.36 | ↓ -26% |
| Advocate Employee | Commercial | $4,791.04 | ↓ -21% |
| Blue Cross Blue Shield Choice | Commercial | $4,876.16 | ↓ -20% |
| Blue Cross Blue Shield | PPO | $5,131.52 | ↓ -16% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,958.40 | ↓ -2% |
| Blue Cross Blue Shield | HMO | $6,067.84 | ↓ -0% |
| Cigna One Health | Commercial | $6,323.20 | ↑ +4% |
| Cigna | Commercial | $6,809.60 | ↑ +12% |
| Aetna | Commercial | $7,036.99 | ↑ +16% |
| Private Healthcare Systems | Commercial | $9,849.60 | ↑ +62% |
| Multiplan | Commercial | $10,944.00 | ↑ +80% |
| Molina | Medicare Advantage | $15,818.44 | ↑ +160% |
| Ambetter | Medicare Advantage | $15,818.44 | ↑ +160% |
| Oscar Health HMO | Medicare Advantage | $16,363.90 | ↑ +169% |
| HSTechnology | Medicare Advantage | $20,945.80 | ↑ +245% |
| United Healthcare Charter | Commercial | $28,482.00 | ↑ +368% |
| United Healthcare Core Navigate | Commercial | $31,504.00 | ↑ +418% |
| United Healthcare Nexus | Commercial | $32,367.00 | ↑ +432% |
| United Healthcare | HMO | $35,962.00 | ↑ +491% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $13,181.40 | $1,504.20 – $14,279.85 |
| MercyOne Genesis Aledo Medical Center | Aledo | $981.00 | $2,970.16 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $3,790.00 | $2,986.52 – $91,059.00 |
| Advocate Condell Medical Center | Libertyville | $12,270.00 | $9,668.76 – $39,558.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $8,845.00 | $6,969.86 – $91,059.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $28,311.41 | $439.81 – $15,606.66 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $16,266.80 | $11,200.55 – $11,760.58 |
| Advocate Illinois Masonic Medical Center | Chicago | $15,115.00 | $11,910.62 – $91,059.00 |