Mopath procedure level 5 at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$760.00
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.
?
What you pay up front if you don't use insurance.
$1,520.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$108.63 with Blue Cross Blue Shield City of Chicago vs $1,248.53 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $108.63 | ↓ -86% |
| Blue Cross Blue Shield Choice | Commercial | $117.15 | ↓ -85% |
| Blue Cross Blue Shield | PPO | $123.54 | ↓ -84% |
| Advocate Employee | Commercial | $139.87 | ↓ -82% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $203.06 | ↓ -73% |
| Aetna | Commercial | $205.44 | ↓ -73% |
| Blue Cross Blue Shield | HMO | $206.97 | ↓ -73% |
| United Healthcare | HMO | $274.83 | ↓ -64% |
| United Healthcare Nexus | Commercial | $274.83 | ↓ -64% |
| United Healthcare Core Navigate | Commercial | $274.83 | ↓ -64% |
| United Healthcare Charter | Commercial | $274.83 | ↓ -64% |
| Private Healthcare Systems | Commercial | $287.55 | ↓ -62% |
| Multiplan | Commercial | $319.50 | ↓ -58% |
| Molina | Medicare Advantage | $398.50 | ↓ -48% |
| Ambetter | Medicare Advantage | $398.50 | ↓ -48% |
| Oscar Health HMO | Medicare Advantage | $412.25 | ↓ -46% |
| HSTechnology | Medicare Advantage | $527.67 | ↓ -31% |
| Cigna One Health | Commercial | $1,248.53 | ↑ +64% |
| Cigna | Commercial | $1,248.53 | ↑ +64% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $250.00 | $249.74 – $445.22 |
| Advocate Christ Medical Center | Oak Lawn | $760.00 | $139.87 – $1,248.53 |
| Advocate Condell Medical Center | Libertyville | $760.00 | $139.87 – $1,248.53 |
| Advocate Good Samaritan Hospital | Downers Grove | $760.00 | $139.87 – $1,248.53 |
| UnityPoint Health - Trinity Moline | Rock Island | $550.40 | $3.50 – $439.73 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $250.00 | $239.91 – $445.22 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,568.60 | $274.83 – $288.57 |
| Advocate Illinois Masonic Medical Center | Chicago | $760.00 | $139.87 – $1,248.53 |