Repair blood vessel dir upper extr at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$3,670.00
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.
$7,340.00
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.
$2,246.04 with Blue Cross Blue Shield City of Chicago vs $6,606.00 with Multiplan — 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 | $2,246.04 | ↓ -39% |
| Blue Cross Blue Shield Choice | Commercial | $2,422.20 | ↓ -34% |
| Blue Cross Blue Shield | PPO | $2,554.32 | ↓ -30% |
| Advocate Employee | Commercial | $2,891.96 | ↓ -21% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $3,596.60 | ↓ -2% |
| Blue Cross Blue Shield | HMO | $3,662.66 | ↓ -0% |
| Cigna One Health | Commercial | $3,816.80 | ↑ +4% |
| Aetna | Commercial | $4,247.66 | ↑ +16% |
| Molina | Medicare Advantage | $4,757.47 | ↑ +30% |
| Ambetter | Medicare Advantage | $4,757.47 | ↑ +30% |
| Oscar Health HMO | Medicare Advantage | $4,921.53 | ↑ +34% |
| Private Healthcare Systems | Commercial | $5,945.40 | ↑ +62% |
| HSTechnology | Medicare Advantage | $6,299.55 | ↑ +72% |
| Multiplan | Commercial | $6,606.00 | ↑ +80% |
| United Healthcare | HMO | not published by hospital | — |
| United Healthcare Nexus | Commercial | not published by hospital | — |
| Cigna | Commercial | not published by hospital | — |
| United Healthcare Core Navigate | Commercial | not published by hospital | — |
| United Healthcare Charter | Commercial | not published by hospital | — |
Visitor-reported prices
Comments
Repair blood vessel dir upper extr at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $1,534.80 | $2,093.33 – $2,353.36 |
| MercyOne Genesis Aledo Medical Center | Aledo | $1,534.80 | $2,970.16 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $3,670.00 | $2,891.96 – $6,299.55 |
| UnityPoint Health - Trinity Moline | Rock Island | $5,986.60 | $690.63 – $3,300.11 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $3,732.85 | $3,383.62 – $3,552.80 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $3,670.00 | $2,891.96 – $6,299.55 |
| Advocate South Suburban Hospital | Hazel Crest | $3,670.00 | $2,891.96 – $7,149.16 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $3,732.85 | $3,383.62 – $3,552.80 |