Frenectomy 41115 at OSF Little Company of Mary Medical Center
2800 W 95Th St, Evergreen Park, IL · Osfhealthcare · · NPI 1215572045
$1,197.00
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.
$1,995.00
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 | ↓ -9% |
| Allwell | Medicare Managed Care | $1,662.71 | ↑ +39% |
| WellCare | Medicare Managed Care Plan | $1,679.33 | ↑ +40% |
| Aetna | Medicare Managed Care Plan | $1,695.96 | ↑ +42% |
| IlliniCare Health Plan | Ambetter Exchange | $1,995.25 | ↑ +67% |
| Molina Healthcare | Exchange | $2,327.79 | ↑ +94% |
| BCBS | Choice PPO | $3,092.63 | ↑ +158% |
| UnitedHealthCare | All Commercial Plans | $3,533.00 | ↑ +195% |
Visitor-reported prices
Comments
Frenectomy 41115 at other Illinois hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Silvis Medical Center | Silvis | $487.20 | $747.04 – $1,399.60 |
| MercyOne Genesis Aledo Medical Center | Aledo | $487.20 | $2,970.16 – $2,970.16 |
| Northwestern Memorial Hospital | Chicago | $2,961.70 | not published |
| UnityPoint Health - Trinity Moline | Rock Island | $622.40 | $131.88 – $1,152.38 |
| SSM Health Good Samaritan Hospital - Mt. Vernon | Mount Vernon | $1,267.75 | $1,662.71 – $1,745.84 |
| SSM Health St. Mary's Hospital - Centralia | Centralia | $1,267.75 | not published |
| OSF Sacred Heart Medical Center – Urbana | Danville | $1,389.60 | $1,534.00 – $4,342.00 |
| OSF Saint Anthony Medical Center | Rockford | $1,630.20 | $262.58 – $5,819.47 |