Biopsy muscle percutaneous needle at OSF Little Company of Mary Medical Center
2800 W 95Th St, Evergreen Park, IL · Osfhealthcare · · NPI 1215572045
$1,068.00
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.
$1,780.00
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.
$1,094.00 with Aetna vs $3,533.00 with UnitedHealthCare — 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 |
|---|---|---|---|
| Aetna | All Commercial Plans | $1,094.00 | ↑ +2% |
| Imagine Health | All Commercial Plans | $1,400.00 | ↑ +31% |
| Allwell | Medicare Managed Care | $1,769.88 | ↑ +66% |
| WellCare | Medicare Managed Care Plan | $1,787.58 | ↑ +67% |
| Aetna | Medicare Managed Care Plan | $1,805.28 | ↑ +69% |
| IlliniCare Health Plan | Ambetter Exchange | $2,123.86 | ↑ +99% |
| Molina Healthcare | Exchange | $2,477.84 | ↑ +132% |
| BCBS | Choice PPO | $3,291.98 | ↑ +208% |
| UnitedHealthCare | All Commercial Plans | $3,533.00 | ↑ +231% |
Visitor-reported prices
Comments
Biopsy muscle percutaneous needle at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $799.20 | $326.08 – $3,343.15 |
| MercyOne Genesis Aledo Medical Center | Aledo | $466.20 | $1,788.45 – $2,970.16 |
| Uchicago Medicine Adventhealth Hinsdale | Hinsdale | $800.00 | $430.00 – $2,867.21 |
| Advocate Christ Medical Center | Oak Lawn | $1,705.00 | $1,343.54 – $6,181.00 |
| Northwestern Memorial Hospital | Chicago | $2,273.60 | not published |
| Advocate Condell Medical Center | Libertyville | $1,760.00 | $1,386.88 – $4,636.00 |
| Advocate Good Samaritan Hospital | Downers Grove | $1,665.00 | $1,312.02 – $6,181.00 |
| UnityPoint Health - Trinity Moline | Rock Island | $921.92 | $51.81 – $1,260.48 |