Consult comp w/report rfrd material at OSF Little Company of Mary Medical Center
2800 W 95Th St, Evergreen Park, IL · Osfhealthcare · · NPI 1215572045
$599.40
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.
$999.00
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.
$42.98 with UnitedHealthCare vs $339.58 with BCBS — 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 |
|---|---|---|---|
| UnitedHealthCare | All Commercial Plans | $42.98 | ↓ -93% |
| Allwell | Medicare Managed Care | $182.57 | ↓ -70% |
| WellCare | Medicare Managed Care Plan | $184.40 | ↓ -69% |
| Aetna | Medicare Managed Care Plan | $186.22 | ↓ -69% |
| Aetna | All Commercial Plans | $217.09 | ↓ -64% |
| IlliniCare Health Plan | Ambetter Exchange | $219.09 | ↓ -63% |
| Molina Healthcare | Exchange | $255.60 | ↓ -57% |
| BCBS | Choice PPO | $339.58 | ↓ -43% |
Visitor-reported prices
Comments
Consult comp w/report rfrd material at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Moline | Rock Island | $365.60 | $76.94 – $244.10 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $877.25 | $182.57 – $191.70 |
| Advocate Sherman Hospital | Elgin | $570.00 | $49.47 – $1,026.00 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $877.25 | $182.57 – $191.70 |
| Ascension Saint Joseph - Chicago (Presence Chicago Hospital Network) | Chicago | $71.61 | $90.10 – $607.56 |
| OSF Holy Family Medical Center | Monmouth | $1,240.80 | not published |
| OSF Saint Anthony Medical Center | Rockford | $1,104.00 | $182.57 – $639.00 |
| OSF Saint Elizabeth Medical Center | Ottawa | $374.40 | $182.57 – $186.22 |