Pt re-evaluation patient/family at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$120.00
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.
$240.00
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.
$55.16 with Advocate Employee vs $268.00 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 |
|---|---|---|---|
| Advocate Employee | Commercial | $55.16 | ↓ -54% |
| Cigna One Health | Commercial | $72.80 | ↓ -39% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $80.08 | ↓ -33% |
| Aetna | Commercial | $81.02 | ↓ -32% |
| Blue Cross Blue Shield | HMO | $81.62 | ↓ -32% |
| Blue Cross Blue Shield City of Chicago | Commercial | $89.46 | ↓ -25% |
| Cigna | Commercial | $92.40 | ↓ -23% |
| Blue Cross Blue Shield Choice | Commercial | $96.66 | ↓ -19% |
| Molina | Medicare Advantage | $100.49 | ↓ -16% |
| Ambetter | Medicare Advantage | $100.49 | ↓ -16% |
| Blue Cross Blue Shield | PPO | $101.75 | ↓ -15% |
| Oscar Health HMO | Medicare Advantage | $103.96 | ↓ -13% |
| Private Healthcare Systems | Commercial | $113.40 | ↓ -6% |
| Multiplan | Commercial | $126.00 | ↑ +5% |
| HSTechnology | Medicare Advantage | $133.07 | ↑ +11% |
| United Healthcare Charter | Commercial | $212.00 | ↑ +77% |
| United Healthcare Core Navigate | Commercial | $236.00 | ↑ +97% |
| United Healthcare Nexus | Commercial | $243.00 | ↑ +103% |
| United Healthcare | HMO | $268.00 | ↑ +123% |
Visitor-reported prices
Comments
Pt re-evaluation patient/family at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $233.40 | $35.52 – $289.71 |
| MercyOne Genesis Aledo Medical Center | Aledo | $233.40 | $49.95 – $52.17 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $52.50 | $67.45 – $111.62 |
| Advocate Christ Medical Center | Oak Lawn | $120.00 | $23.64 – $469.00 |
| Advocate Condell Medical Center | Libertyville | $120.00 | $23.64 – $295.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $120.00 | $23.64 – $469.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $129.07 | $56.66 – $91.46 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $52.50 | $67.45 – $111.62 |