Insert cath pleura with image at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$1,160.00
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.
$2,320.00
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.
$712.32 with Blue Cross Blue Shield City of Chicago vs $4,256.00 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 | $712.32 | ↓ -39% |
| Advocate Employee | Commercial | $756.48 | ↓ -35% |
| Blue Cross Blue Shield Choice | Commercial | $769.92 | ↓ -34% |
| Blue Cross Blue Shield | PPO | $810.24 | ↓ -30% |
| Cigna One Health | Commercial | $998.40 | ↓ -14% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $1,098.24 | ↓ -5% |
| Aetna | Commercial | $1,111.10 | ↓ -4% |
| Blue Cross Blue Shield | HMO | $1,119.36 | ↓ -4% |
| Cigna | Commercial | $1,267.20 | ↑ +9% |
| Private Healthcare Systems | Commercial | $1,555.20 | ↑ +34% |
| Multiplan | Commercial | $1,728.00 | ↑ +49% |
| Ambetter | Medicare Advantage | $2,348.04 | ↑ +102% |
| Molina | Medicare Advantage | $2,348.04 | ↑ +102% |
| Oscar Health HMO | Medicare Advantage | $2,429.01 | ↑ +109% |
| HSTechnology | Medicare Advantage | $3,109.13 | ↑ +168% |
| United Healthcare Charter | Commercial | $3,371.00 | ↑ +191% |
| United Healthcare Core Navigate | Commercial | $3,728.00 | ↑ +221% |
| United Healthcare Nexus | Commercial | $3,830.00 | ↑ +230% |
| United Healthcare | HMO | $4,256.00 | ↑ +267% |
Visitor-reported prices
Comments
Insert cath pleura with image at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $314.40 | $482.08 – $993.87 |
| MercyOne Genesis Aledo Medical Center | Aledo | $314.40 | $2,691.66 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $625.00 | $430.00 – $2,732.77 |
| Advocate Christ Medical Center | Oak Lawn | $1,170.00 | $921.96 – $6,071.00 |
| Advocate Condell Medical Center | Libertyville | $1,215.00 | $957.42 – $4,681.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,545.00 | $1,217.46 – $6,071.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $3,022.40 | $133.85 – $1,208.52 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $625.00 | $430.00 – $2,732.77 |