Whfo w/joint(s) custom fab at Advocate Sherman Hospital
1425 North Randall Road, Elgin, IL · Advocate Health · · NPI 1629026364
$330.00
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.
$660.00
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.
$207.90 with Blue Cross Blue Shield City of Chicago vs $956.29 with HSTechnology — 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 | $207.90 | ↓ -37% |
| Blue Cross Blue Shield Choice | Commercial | $224.40 | ↓ -32% |
| Blue Cross Blue Shield | PPO | $236.28 | ↓ -28% |
| Advocate Employee | Commercial | $260.04 | ↓ -21% |
| United Healthcare Charter | Commercial | $313.50 | ↓ -5% |
| Aetna | Commercial | $317.20 | ↓ -4% |
| Cigna One Health | Commercial | $330.00 | ↑ +0% |
| Cigna | Commercial | $343.20 | ↑ +4% |
| United Healthcare Core Navigate | Commercial | $347.16 | ↑ +5% |
| United Healthcare Nexus | Commercial | $356.40 | ↑ +8% |
| United Healthcare | HMO | $396.00 | ↑ +20% |
| Blue Cross Blue Shield Blue Precision | Managed Care | $468.60 | ↑ +42% |
| Blue Cross Blue Shield | HMO | $476.52 | ↑ +44% |
| Private Healthcare Systems | Commercial | $534.60 | ↑ +62% |
| Multiplan | Commercial | $594.00 | ↑ +80% |
| Molina | Medicare Advantage | $722.20 | ↑ +119% |
| Ambetter | Medicare Advantage | $722.20 | ↑ +119% |
| Oscar Health HMO | Medicare Advantage | $747.11 | ↑ +126% |
| HSTechnology | Medicare Advantage | $956.29 | ↑ +190% |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Advocate Christ Medical Center | Oak Lawn | $342.50 | $166.32 – $956.29 |
| Advocate Condell Medical Center | Libertyville | $342.50 | $141.24 – $956.29 |
| Advocate Good Samaritan Hospital | Downers Grove | $342.50 | $228.79 – $956.29 |
| Advocate Illinois Masonic Medical Center | Chicago | $342.50 | $155.50 – $956.29 |
| Advocate Childrens Hospital - Park Ridge | Park Ridge | $342.50 | $230.34 – $956.29 |
| Advocate South Suburban Hospital | Hazel Crest | $342.50 | $206.58 – $956.29 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $343.73 | $579.38 – $579.38 |
| UnityPoint Health - Trinity Moline | Rock Island | not published | $247.28 – $796.91 |