Peri-proc device eval pm at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$102.50
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.
$205.00
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.
$80.77 with Advocate Employee vs $184.50 with Multiplan — 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 |
|---|---|---|---|
| Advocate Employee | Commercial | $80.77 | ↓ -21% |
| Blue Cross Blue Shield City of Chicago | Commercial | $81.67 | ↓ -20% |
| Blue Cross Blue Shield Choice | Commercial | $88.25 | ↓ -14% |
| Blue Cross Blue Shield | PPO | $92.89 | ↓ -9% |
| United Healthcare Charter | Commercial | $97.38 | ↓ -5% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $100.45 | ↓ -2% |
| Cigna One Health | Commercial | $106.60 | ↑ +4% |
| United Healthcare Core Navigate | Commercial | $107.83 | ↑ +5% |
| United Healthcare Nexus | Commercial | $110.70 | ↑ +8% |
| Aetna | Commercial | $118.63 | ↑ +16% |
| Blue Cross Blue Shield | HMO | $119.52 | ↑ +17% |
| United Healthcare | HMO | $123.00 | ↑ +20% |
| Cigna | Commercial | $135.30 | ↑ +32% |
| Private Healthcare Systems | Commercial | $166.05 | ↑ +62% |
| Multiplan | Commercial | $184.50 | ↑ +80% |
| Molina | Medicare Advantage | not published by hospital | — |
| Oscar Health HMO | Medicare Advantage | not published by hospital | — |
| Ambetter | Medicare Advantage | not published by hospital | — |
| HSTechnology | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
Comments
Peri-proc device eval pm at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $100.00 | not published |
| Advocate Christ Medical Center | Oak Lawn | $102.50 | $71.55 – $183.16 |
| Advocate Condell Medical Center | Libertyville | $102.50 | $80.77 – $164.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $102.50 | $71.55 – $187.58 |
| UnityPoint Health - Trinity Moline | Rock Island | $91.20 | $13.40 – $75.58 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $100.00 | not published |
| Advocate Illinois Masonic Medical Center | Chicago | $102.50 | $71.55 – $188.73 |
| Advocate South Suburban Hospital | Hazel Crest | $102.50 | $71.55 – $199.67 |