Rmvl pm gen w/rplc pm gen sgl lead sys at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$5,585.00
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.
$11,170.00
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.
$4,144.07 with Blue Cross Blue Shield City of Chicago vs $19,537.00 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 | $4,144.07 | ↓ -26% |
| Advocate Employee | Commercial | $4,400.98 | ↓ -21% |
| Blue Cross Blue Shield Choice | Commercial | $4,479.17 | ↓ -20% |
| Blue Cross Blue Shield | PPO | $4,713.74 | ↓ -16% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $5,473.30 | ↓ -2% |
| Blue Cross Blue Shield | HMO | $5,573.83 | ↓ -0% |
| Cigna One Health | Commercial | $5,808.40 | ↑ +4% |
| Cigna | Commercial | $6,255.20 | ↑ +12% |
| Aetna | Commercial | $6,464.08 | ↑ +16% |
| Private Healthcare Systems | Commercial | $9,047.70 | ↑ +62% |
| Multiplan | Commercial | $10,053.00 | ↑ +80% |
| Ambetter | Medicare Advantage | $12,509.22 | ↑ +124% |
| Molina | Medicare Advantage | $12,509.22 | ↑ +124% |
| Oscar Health HMO | Medicare Advantage | $12,940.57 | ↑ +132% |
| United Healthcare Charter | Commercial | $15,472.00 | ↑ +177% |
| HSTechnology | Medicare Advantage | $16,563.93 | ↑ +197% |
| United Healthcare Core Navigate | Commercial | $17,114.00 | ↑ +206% |
| United Healthcare Nexus | Commercial | $17,583.00 | ↑ +215% |
| United Healthcare | HMO | $19,537.00 | ↑ +250% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $10,190.40 | $5,434.88 – $15,625.28 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $3,250.00 | $4,150.00 – $14,366.26 |
| Advocate Christ Medical Center | Oak Lawn | $4,795.00 | $3,778.46 – $47,462.00 |
| Advocate Condell Medical Center | Libertyville | $9,090.00 | $7,162.92 – $24,503.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $10,020.00 | $7,895.76 – $47,462.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $19,531.90 | $294.17 – $10,766.96 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $3,250.00 | $4,150.00 – $14,366.26 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $10,837.20 | $8,868.06 – $9,311.46 |