Transcath mv repair addl prosthesis at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$7,720.00
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.
$15,440.00
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.
$3,260.00 with United Healthcare Charter vs $13,896.00 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 |
|---|---|---|---|
| United Healthcare Charter | Commercial | $3,260.00 | ↓ -58% |
| United Healthcare Core Navigate | Commercial | $3,606.00 | ↓ -53% |
| United Healthcare Nexus | Commercial | $3,705.00 | ↓ -52% |
| United Healthcare | HMO | $4,116.00 | ↓ -47% |
| Blue Cross Blue Shield City of Chicago | Commercial | $5,728.24 | ↓ -26% |
| Advocate Employee | Commercial | $6,083.36 | ↓ -21% |
| Blue Cross Blue Shield Choice | Commercial | $6,191.44 | ↓ -20% |
| Blue Cross Blue Shield | PPO | $6,515.68 | ↓ -16% |
| Blue Cross Blue Shield | HMO | $7,704.56 | ↓ -0% |
| Cigna One Health | Commercial | $8,028.80 | ↑ +4% |
| Cigna | Commercial | $8,646.40 | ↑ +12% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $8,831.68 | ↑ +14% |
| Aetna | Commercial | $8,935.13 | ↑ +16% |
| Private Healthcare Systems | Commercial | $12,506.40 | ↑ +62% |
| Multiplan | Commercial | $13,896.00 | ↑ +80% |
| Oscar Health HMO | Medicare Advantage | not published by hospital | — |
| Molina | Medicare Advantage | not published by hospital | — |
| Ambetter | Medicare Advantage | not published by hospital | — |
| HSTechnology | Medicare Advantage | not published by hospital | — |
Visitor-reported prices
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Transcath mv repair addl prosthesis at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $949.20 | $1,455.44 – $14,350.91 |
| MercyOne Genesis Aledo Medical Center | Aledo | $949.20 | $2,970.16 – $2,970.16 |
| Advocate Christ Medical Center | Oak Lawn | $7,720.00 | $3,181.00 – $12,352.00 |
| Northwestern Memorial Hospital | Chicago | $7,586.60 | not published |
| Advocate Good Samaritan Hospital | Downers Grove | $7,720.00 | $3,181.00 – $12,352.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $1,043.20 | $362.26 – $969.03 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $7,720.00 | $3,181.00 – $12,352.00 |
| OSF Saint Francis Medical Center | Peoria | $6,284.40 | $482.76 – $693.00 |