Perq nl/pl lithotrp smpl<2cm at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$4,650.00
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.
$9,300.00
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.
$3,450.30 with Blue Cross Blue Shield City of Chicago vs $18,507.68 with HSTechnology — 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 | $3,450.30 | ↓ -26% |
| Advocate Employee | Commercial | $3,664.20 | ↓ -21% |
| Blue Cross Blue Shield Choice | Commercial | $3,729.30 | ↓ -20% |
| Blue Cross Blue Shield | PPO | $3,924.60 | ↓ -16% |
| Cigna One Health | Commercial | $4,836.00 | ↑ +4% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,319.60 | ↑ +14% |
| Aetna | Commercial | $5,381.91 | ↑ +16% |
| Blue Cross Blue Shield | HMO | $5,421.90 | ↑ +17% |
| Cigna | Commercial | $6,138.00 | ↑ +32% |
| Private Healthcare Systems | Commercial | $7,533.00 | ↑ +62% |
| United Healthcare Charter | Commercial | $7,860.00 | ↑ +69% |
| Multiplan | Commercial | $8,370.00 | ↑ +80% |
| United Healthcare Core Navigate | Commercial | $8,692.00 | ↑ +87% |
| United Healthcare Nexus | Commercial | $8,932.00 | ↑ +92% |
| United Healthcare | HMO | $9,925.00 | ↑ +113% |
| Molina | Medicare Advantage | $13,977.15 | ↑ +201% |
| Ambetter | Medicare Advantage | $13,977.15 | ↑ +201% |
| Oscar Health HMO | Medicare Advantage | $14,459.12 | ↑ +211% |
| HSTechnology | Medicare Advantage | $18,507.68 | ↑ +298% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp smpl<2cm at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Good Samaritan Hospital | Downers Grove | $6,530.00 | $5,145.64 – $18,507.68 |
| UnityPoint Health - Trinity Moline | Rock Island | $4,390.40 | $630.76 – $7,193.92 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $3,490.00 | $2,750.12 – $18,507.68 |
| MercyOne Genesis Silvis Medical Center | Silvis | not published | $6,862.82 – $14,459.12 |
| MercyOne Genesis Aledo Medical Center | Aledo | not published | $2,574.00 – $18,586.28 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | not published | $4,750.00 – $16,433.99 |
| Advocate Christ Medical Center | Oak Lawn | not published | $9,155.00 – $18,507.68 |
| Advocate Condell Medical Center | Libertyville | not published | $8,116.00 – $18,507.68 |