Epidural lysis on single day 62264 at OSF Little Company of Mary Medical Center
2800 W 95Th St, Evergreen Park, IL · Osfhealthcare · · NPI 1215572045
$4,395.00
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.
$7,325.00
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.
$947.82 with Allwell vs $2,825.00 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 |
|---|---|---|---|
| Allwell | Medicare Managed Care | $947.82 | ↓ -78% |
| WellCare | Medicare Managed Care Plan | $957.30 | ↓ -78% |
| Aetna | Medicare Managed Care Plan | $966.77 | ↓ -78% |
| Aetna | All Commercial Plans | $1,094.00 | ↓ -75% |
| IlliniCare Health Plan | Ambetter Exchange | $1,137.38 | ↓ -74% |
| Molina Healthcare | Exchange | $1,326.94 | ↓ -70% |
| Imagine Health | All Commercial Plans | $1,400.00 | ↓ -68% |
| BCBS | Choice PPO | $1,762.94 | ↓ -60% |
| UnitedHealthCare | All Commercial Plans | $2,825.00 | ↓ -36% |
Visitor-reported prices
Comments
Epidural lysis on single day 62264 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $835.80 | $750.77 – $1,281.56 |
| MercyOne Genesis Aledo Medical Center | Aledo | $835.80 | $2,033.27 – $2,970.16 |
| UnityPoint Health - Trinity Moline | Rock Island | $2,092.25 | $222.57 – $1,153.35 |
| Advocate Illinois Masonic Medical Center | Chicago | $1,805.00 | $1,345.68 – $6,071.00 |
| OSF St Joseph Medical Center | Bloomington | $5,637.60 | $947.82 – $2,769.00 |
| OSF Saint James John W Albrecht Medical Center | Pontiac | $7,786.40 | $947.82 – $3,541.00 |
| OSF Saint Paul Medical Center | Mendota | $1,393.60 | not published |
| OSF Saint Francis Medical Center | Peoria | $5,655.00 | $450.99 – $3,222.22 |