Radphm lcl tumor plr sgl day at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$820.00
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.
$1,640.00
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.
$484.19 with Blue Cross Blue Shield City of Chicago vs $2,694.00 with United Healthcare — 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 | $484.19 | ↓ -41% |
| Blue Cross Blue Shield Choice | Commercial | $523.21 | ↓ -36% |
| Blue Cross Blue Shield | PPO | $550.74 | ↓ -33% |
| Ambetter | Medicare Advantage | $607.37 | ↓ -26% |
| Molina | Medicare Advantage | $607.37 | ↓ -26% |
| Oscar Health HMO | Medicare Advantage | $628.31 | ↓ -23% |
| Advocate Employee | Commercial | $646.16 | ↓ -21% |
| Aetna | Commercial | $667.45 | ↓ -19% |
| HSTechnology | Medicare Advantage | $804.24 | ↓ -2% |
| Cigna One Health | Commercial | $852.80 | ↑ +4% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $938.08 | ↑ +14% |
| Blue Cross Blue Shield | HMO | $956.12 | ↑ +17% |
| Cigna | Commercial | $1,082.40 | ↑ +32% |
| Private Healthcare Systems | Commercial | $1,328.40 | ↑ +62% |
| Multiplan | Commercial | $1,476.00 | ↑ +80% |
| United Healthcare Charter | Commercial | $2,134.00 | ↑ +160% |
| United Healthcare Core Navigate | Commercial | $2,359.00 | ↑ +188% |
| United Healthcare Nexus | Commercial | $2,426.00 | ↑ +196% |
| United Healthcare | HMO | $2,694.00 | ↑ +229% |
Visitor-reported prices
Comments
Radphm lcl tumor plr sgl day at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $695.40 | $370.88 – $1,066.28 |
| MercyOne Genesis Aledo Medical Center | Aledo | $695.40 | $399.78 – $544.73 |
| Advocate Condell Medical Center | Libertyville | $820.00 | $607.37 – $2,595.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $820.00 | $607.37 – $3,966.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $922.89 | $27.94 – $508.74 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,763.30 | $428.40 – $449.82 |
| Advocate Illinois Masonic Medical Center | Chicago | $820.00 | $607.37 – $3,966.00 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $820.00 | $607.37 – $3,966.00 |