Valvuloplasty aortic at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$6,810.00
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.
$13,620.00
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.
$4,105.00 with Blue Cross Blue Shield City of Chicago vs $14,074.00 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 |
|---|---|---|---|
| Blue Cross Blue Shield City of Chicago | Commercial | $4,105.00 | ↓ -40% |
| Blue Cross Blue Shield Choice | Commercial | $4,435.74 | ↓ -35% |
| Blue Cross Blue Shield | PPO | $4,669.20 | ↓ -31% |
| Advocate Employee | Commercial | $5,366.28 | ↓ -21% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $6,673.80 | ↓ -2% |
| Blue Cross Blue Shield | HMO | $6,796.38 | ↓ -0% |
| Cigna One Health | Commercial | $7,082.40 | ↑ +4% |
| Cigna | Commercial | $7,627.20 | ↑ +12% |
| Aetna | Commercial | $7,881.89 | ↑ +16% |
| Ambetter | Medicare Advantage | $8,617.90 | ↑ +27% |
| Molina | Medicare Advantage | $8,617.90 | ↑ +27% |
| Oscar Health HMO | Medicare Advantage | $8,915.07 | ↑ +31% |
| Private Healthcare Systems | Commercial | $11,032.20 | ↑ +62% |
| United Healthcare Charter | Commercial | $11,146.00 | ↑ +64% |
| HSTechnology | Medicare Advantage | $11,411.29 | ↑ +68% |
| Multiplan | Commercial | $12,258.00 | ↑ +80% |
| United Healthcare Core Navigate | Commercial | $12,328.00 | ↑ +81% |
| United Healthcare Nexus | Commercial | $12,665.00 | ↑ +86% |
| United Healthcare | HMO | $14,074.00 | ↑ +107% |
Visitor-reported prices
Comments
Valvuloplasty aortic at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $2,791.20 | $4,279.84 – $8,407.35 |
| MercyOne Genesis Aledo Medical Center | Aledo | $2,791.20 | $2,970.16 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $3,000.00 | $5,474.00 – $9,880.68 |
| Advocate Christ Medical Center | Oak Lawn | $5,170.00 | $4,073.96 – $25,111.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $6,925.00 | $5,456.90 – $25,111.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $9,995.45 | $1,142.79 – $5,509.99 |
| Uchicago Medicine Adventhealth La Grange | La Grange | $3,000.00 | $5,474.00 – $9,880.68 |
| Advocate Illinois Masonic Medical Center | Chicago | $6,925.00 | $5,456.90 – $25,111.00 |